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NPI Code Detail

MEDICARE: CORNERSTONE CHIROPRACTIC PA

MEDICARE: CORNERSTONE CHIROPRACTIC PA
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
1111N00000XChiropractor10096TX

General Provider Information

NPI Number : 1578532420
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERSTONE CHIROPRACTIC PA
Provider Business Mailing Address
First Line : 2710 N JOSEY LN
Second Line : SUITE 301
City : CARROLLTON
State : TX
Zip : 75007-5400
Country : US
Telephone Number : 214-483-3550
Fax Number : 888-358-8913
Provider Business Practice Location Address
First Line : 2710 N JOSEY LN
Second Line : SUITE 301
City : CARROLLTON
State : TX
Zip : 75007-5400
Country : US
Telephone Number : 214-483-3550
Fax Number : 888-358-8913
Authorized Official
Title or Position : PARTNER
Name : DR. RYAN NEIL BASS
Credential : D.C.
Telephone Number : 214-483-3550
Provider Enumeration Date : 03/14/2006
Last Update Date : 08/22/2020

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Directions to “CORNERSTONE CHIROPRACTIC PA ” Practice Location

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