NPI age
19 years
Enumerated 2006-07-18
Across 246 active chiropractor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4982 | STATE LICENCE |
| 01 (TX) | 603967 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 742542662 | IRS |
| 05 (TX) | C06039679 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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