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NPI Code Detail

MEDICARE: QRSCOMPL3X, LLC

MEDICARE: QRSCOMPL3X, 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
1111N00000XChiropractor

General Provider Information

NPI Number : 1760346811
Entity Type Code : Organization
Provider Name (Legal Business Name) : QRSCOMPL3X, LLC
Provider Business Mailing Address
First Line : 8080 N CENTRAL EXPY STE 1700
Second Line :
City : DALLAS
State : TX
Zip : 75206-3783
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8080 N CENTRAL EXPY STE 1700
Second Line :
City : DALLAS
State : TX
Zip : 75206-3783
Country : US
Telephone Number : 817-627-5154
Fax Number :
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. ADETOLA FADEYI
Credential : DC
Telephone Number : 817-627-5154
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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