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Dr. Benjamin Lane Waller, DC
Chiropractor in Lewisville, Texas
NPI 1285315184

Benjamin Lane Waller is a Chiropractor based in Lewisville, TX. Benjamin Lane Waller practices in Lewisville, TX and has the professional credentials of DC. The NPI Number for Benjamin Lane Waller is 1285315184 and holds a License No. 15693 (Texas).

The current practice location address for Benjamin Lane Waller is 2560 King Arthur Blvd Ste 120, Lewisville, TX and can be reached out via phone at 972-899-9737 and via fax at 972-899-9738.

Location: 2560 King Arthur Blvd Ste 120, Lewisville, TX, 75056-5818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285315184
Provider Name
Benjamin Lane Waller
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2560 King Arthur Blvd Ste 120, Lewisville, TX, 75056-5818
Phone Number
972-899-9737
Fax Number
972-899-9738
Provider Enumeration Date
07/25/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15693 01 TX STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2560 King Arthur Blvd Ste 120
City
Lewisville
State
Texas
Zip
75056-5818
Phone Number
972-899-9737
Fax Number
972-899-9738
person
Provider Business Mailing Address Details
Address
2560 King Arthur Blvd Ste 120
City
Lewisville
State
Texas
Zip
75056-5818
Phone Number
972-899-9737
Fax Number
972-899-9738
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
15693 (Texas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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