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NPI Code Detail

MEDICARE: ENDURANCE CHIROPRACTIC AND SPORTS THERAPY

MEDICARE: ENDURANCE CHIROPRACTIC AND SPORTS THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor11498TX

General Provider Information

NPI Number : 1245692615
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENDURANCE CHIROPRACTIC AND SPORTS THERAPY
Provider Business Mailing Address
First Line : 3838 50TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79413-3808
Country : US
Telephone Number : 806-785-7514
Fax Number : 806-785-7582
Provider Business Practice Location Address
First Line : 3838 50TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79413-3808
Country : US
Telephone Number : 806-785-7514
Fax Number : 806-785-7582
Authorized Official
Title or Position : OWNER
Name : DR. RYAN ALAN DOSS
Credential : DC
Telephone Number : 806-785-7514
Provider Enumeration Date : 03/24/2016
Last Update Date : 03/24/2016

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Directions to “ENDURANCE CHIROPRACTIC AND SPORTS THERAPY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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