Edward Lee Tillman D.C.

NPI 1083712004 - Chiropractor - 111N00000X

NPI Details
NPI 1083712004
Gender Male
Enumeration Date 09/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
509 W 1ST ST
MT PLEASANT TX, 75455-4336, US
Phone (903) 572-3231
Fax (903) 572-3373
Business Location
509 W 1ST ST
MT PLEASANT TX, 75455-4336, US
Phone (903) 572-3231
Fax (903) 572-3373
Toxanomy
Taxonomy Code 111N00000X
License State Texas
License Number 2510
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According to our database, Dr. Edward Lee Tillman D.C. NPI is 1083712004, taxonomy code is 111N00000X and license number is 2510, license state is located at Texas. Edward Lee Tillman D.C. physically located at 509 W 1st St, Mt Pleasant TX, 75455-4336. NPI Number Edward Lee Tillman D.C. has the Individual type.

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1083712004 NPI number is provided on an as is basis without warranty of any kind. 1083712004 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Lee Tillman D.C. are for informational purposes only.