HEALTHSOURCE OF SOUTH LAKE LLC

SOUTHLAKE, TX
NPI1396025151
Entity TypeOrganization
Authorized ContactM BRANDON PETTKE
Dc/Manager
817-310-0150
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
Enumeration Date2011-08-25
Last Update Date2013-09-12
Business Address
HEALTHSOURCE OF SOUTH LAKE LLC
2225 W SOUTHLAKE BLVD SUITE 441
SOUTHLAKE, TX 76092-6750
Phone number: 817-310-0150
Mailing Address
HEALTHSOURCE OF SOUTH LAKE LLC
2225 W SOUTHLAKE BLVD SUITE 441
SOUTHLAKE, TX 76092-6750
Phone number: 817-310-0150
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