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...
TX license #6376taxonomy 111N00000X
Identifiers
Type
Value
Notes
01 (TX)
8AD876 SOLO #
BCBS SOLO #
01 (TX)
P00064426
MEDICARE RAILROAD
01 (TX)
0007PU GROUP#
BCBS GROUP#
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Desoto Chiropractic Center
Type code 3recorded 2007-03-23
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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