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NPI Code Detail

MEDICARE: DECOMPRESSION INTEGRATION SOLUTIONS, LLC

MEDICARE: DECOMPRESSION INTEGRATION SOLUTIONS, LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies
2111N00000XChiropractor

General Provider Information

NPI Number : 1235773284
Entity Type Code : Organization
Provider Name (Legal Business Name) : DECOMPRESSION INTEGRATION SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 600 E JOHN CARPENTER FWY STE 125
Second Line :
City : IRVING
State : TX
Zip : 75062-4299
Country : US
Telephone Number : 972-556-5667
Fax Number : 972-635-4430
Provider Business Practice Location Address
First Line : 600 E JOHN CARPENTER FWY STE 125
Second Line :
City : IRVING
State : TX
Zip : 75062-4299
Country : US
Telephone Number : 972-556-5667
Fax Number : 972-635-4430
Authorized Official
Title or Position : OWNER
Name : DR. GREGORY STOWE
Credential : DC
Telephone Number : 214-498-4866
Provider Enumeration Date : 11/03/2019
Last Update Date : 01/07/2022

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Directions to “DECOMPRESSION INTEGRATION SOLUTIONS, LLC ” Practice Location

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