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Four-ten Enterprise, Llc
Chiropractor in Tyler, Texas
NPI 1619497401

Four-ten Enterprise, Llc is a Chiropractor based in Tyler, TX. Four-ten Enterprise, Llc practices in Tyler, TX. The NPI Number for Four-ten Enterprise, Llc is 1619497401 and holds a License No. 12808 (Texas).

The current practice location address for Four-ten Enterprise, Llc is 1540 Rice Rd Ste 400, Tyler, TX and can be reached out via phone at 903-597-9021 and via fax at 903-597-0840.

Location: 1540 Rice Rd Ste 400, Tyler, TX, 75703-3223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619497401
Provider Name
Four-ten Enterprise, Llc
Credential
Provider Entity Type
Organization
Address
1540 Rice Rd Ste 400, Tyler, TX, 75703-3223
Phone Number
903-597-9021
Fax Number
903-597-0840
Provider Enumeration Date
06/22/2017
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
583248 01 TX MEDICARE
institution
Provider Business Practice Location Address Details
Address
1540 Rice Rd Ste 400
City
Tyler
State
Texas
Zip
75703-3223
Phone Number
903-597-9021
Fax Number
903-597-0840
person
Provider Business Mailing Address Details
Address
1540 Rice Rd Ste 400
City
Tyler
State
Texas
Zip
75703-3223
Phone Number
903-597-9021
Fax Number
903-597-0840
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
12808 (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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