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Greg W Davidovich, DC
Chiropractor in Southlake, Texas
NPI 1649218777

Greg W Davidovich is a Chiropractor based in Southlake, TX. Greg W Davidovich practices in Southlake, TX and has the professional credentials of DC. The NPI Number for Greg W Davidovich is 1649218777 and holds a License No. 6658 (Texas).

The current practice location address for Greg W Davidovich is 680 N Carroll Ave, Southlake, TX and can be reached out via phone at 817-421-9111.

Location: 680 N Carroll Ave, Southlake, TX, 76092-0103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649218777
Provider Name
Greg W Davidovich
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
680 N Carroll Ave, Southlake, TX, 76092-0103
Phone Number
817-421-9111
Fax Number
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8U7605 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
680 N Carroll Ave
City
Southlake
State
Texas
Zip
76092-6411
Phone Number
817-421-9111
Fax Number
person
Provider Business Mailing Address Details
Address
680 N Carroll Ave
City
Southlake
State
Texas
Zip
76092-6411
Phone Number
817-421-9111
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
6658 (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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