Provider First Line Business Practice Location Address:
6336 GASTON AVE
Provider Second Line Business Practice Location Address:
LAKEWOOD CHIROPRACTIC CLINIC
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-824-7000
Provider Business Practice Location Address Fax Number:
214-824-7031
Provider Enumeration Date:
07/04/2006