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 #6989taxonomy 111N00000X
Identifiers
Type
Value
Notes
01 (TX)
607162
BCBS
01 (TX)
655606
ACN GROUP
05 (TX)
00155896
01 (TX)
14208
ASH
01
1055848
ASH PROMIS ID
05 (TX)
170604601
01 (TX)
608955
BCBS GROUP
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Pair of Docs
Type code 4recorded 2008-06-18
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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