Most Relevant Information
Provider Data
| NPI Number: | 1003029174 |
| Provider Name: | DENNIS WAYNE TEAL D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 2740 |
Most Important Dates
| Enumeration Date: | 05/07/2007 |
| Last Updated: | 08/04/2011 |
Provider Practice Location
2000 U S HIGHWAY 190 W
LIVINGSTON
TX
773519601
Practice Location Phone/Fax
| Phone: | 9363275572 |
| Fax: | 9363275573 |
Provider Mailing Location
2000 U S HIGHWAY 190 W
LIVINGSTON
TX
773519601
Provider Mailing Phone/Fax
| Phone: | 9363275572 |
| Fax: | 9363275573 |