Organization · Type 2 NPI

Healthsource of South Lake LLC

Chiropractor · Southlake, TX

NPI number 1396025151 Active

Practice location

2225 W Southlake Blvd, Suite 441
Southlake, TX 76092-6750

Call (817) 310-0150 Map

Fax (817) 310-0710

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1396025151

Healthsource of South Lake LLC's National Provider Identifier is 1396025151, issued on Aug 25, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Southlake, TX. The record was last updated on Sep 12, 2013.