CHIROPRACTIC AVENUE & PHYSICAL MEDICINE, P.A.
Chiropractic at Garland Ave, Garland, TX

License number
Texas 9764
Category
Chiropractic
Type
Chiropractor
Owner
Name: JOHN PHUNG D.C.
Title: PRESIDENT
Phone: (214) 703-0044
Address
Address
417 N Garland Ave, Garland, TX 75040
National Provider ID: 1619074697
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHIROPRACTIC AVENUE & PHYSICAL MEDICINE, PA

417 N Garland Ave, Garland, TX 75040

Status:
Inactive
Registration:
Feb 12, 2004
State ID:
0800304183
Business type:
Professional Association
President, Director, Member:
John Phung President, Director, Member, inactive
TIN:
32035647620

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