NPI age
19 years
Enumerated 2006-12-14
Across 10819 active chiropractor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 00683U | PTIN |
| 01 (TX) | 6976 | STATE LICENSE |
| 01 (TX) | 364481469 | TAX ID |
| 01 (TX) | 8F3390 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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