| Mr Mackie Dawayne Gourley Jr, CHIROPRACTOR | |
|
190 E Stacy Rd Ste 306-397, Allen, TX 75002-8734 | |
| (469) 519-1282 | |
| Not Available |
| Full Name | Mr Mackie Dawayne Gourley Jr |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 190 E Stacy Rd Ste 306-397, Allen, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558898494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | F0011681 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mackie Dawayne Gourley Jr, CHIROPRACTOR 800 N Watters Rd Ste 100, Allen, TX 75013-5344 Ph: (469) 519-1282 | Mr Mackie Dawayne Gourley Jr, CHIROPRACTOR 190 E Stacy Rd Ste 306-397, Allen, TX 75002-8734 Ph: (469) 519-1282 |
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