Doctor Name: | DR. RUBEN ST LAURENT |
NPI Number: | 1265639462 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C., D.A.C.N.B |
License Number: | 10667 |
Business Practice Address: | 2601 Sagebrush Dr Suite 104 Flower Mound, TX - 750282733 |
Business Phone Number: | 9724795179 |
Business Fax Number: | |
Mailing Address: | 1200 College Pkwy, Apt 428 LEWISVILLE |
State: | TX |
Postal Code: | 750772898 |
Phone Number: | 9729513885 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 01/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 10667 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy 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. |