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 #9159DCtaxonomy 111N00000X
Identifiers
Type
Value
Notes
01 (TX)
OO18NE
BLUE CROSS/BLUE SHIELD GR
01
OOW236
MEDICARE GROUP
01 (TX)
U92760
UPIN
01 (TX)
8F2466
BLUE CROSS/BLUE SHIELD IN
01
182380901
MEDICAID INDIVIDUAL
05 (TX)
1823791-01
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Victoria Chiropractic Clinic PLLC
Type code 3recorded 2022-02-08
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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