NPI age
20 years
Enumerated 2006-05-25
Across 10819 active chiropractor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0011314-01 | |
| 01 (TX) | DC2668 | PIN |
| 01 (TX) | 74-2286938 | TAX |
| 01 (TX) | 601053 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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