Optimized Living Institute Llc

NPI 1922404151 - Chiropractor - 111NN1001X

NPI Details
NPI 1922404151
Enumeration Date 11/17/2014
Last Updated 11/17/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DEREK PAUL DEREK
Position CEO
Phone (817) 431-9911
Fax (817) 431-3900
Practice Location
1858 KELLER PKWY
SUITE C
KELLER TX, 76248-3757, US
Phone (817) 431-9911
Fax (817) 431-3900
Business Location
1858 KELLER PKWY
SUITE C
KELLER TX, 76248-3757, US
Phone (817) 430-9911
Fax (817) 431-3900
Toxanomy
Taxonomy Code 111NN1001X
License State Texas
License Number 12675
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According to our database, Optimized Living Institute Llc NPI is 1922404151, taxonomy code is 111NN1001X and license number is 12675, license state is located at Texas. Optimized Living Institute Llc physically located at 1858 Keller Pkwy, Keller TX, 76248-3757. NPI Number 1033115704 has the healthcare provider type.

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1922404151 NPI number is provided on an as is basis without warranty of any kind. 1922404151 is maintained by the National Plan & Provider Enumeration System. The contents of Optimized Living Institute Llc are for informational purposes only.