Charles A. Wickware Et Al Ptr

NPI 1073726956 - Chiropractor - 111N00000X

NPI Details
NPI 1073726956
Enumeration Date 05/08/2007
Last Updated 02/22/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES ALLEN CHARLES
Position OWNER
Phone (830) 792-4663
Fax
Practice Location
144 FAIRWAY DR
SUITE D
KERRVILLE TX, 78028-6455, US
Phone (830) 792-4663
Fax
Business Location
144 FAIRWAY DR
SUITE D
KERRVILLE TX, 78028-6455, US
Phone (830) 792-4663
Fax
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Charles A. Wickware Et Al Ptr NPI is 1073726956, taxonomy code is 111N00000X Charles A. Wickware Et Al Ptr physically located at 144 Fairway Dr, Kerrville TX, 78028-6455. NPI Number 1033115704 has the healthcare provider type.

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1073726956 NPI number is provided on an as is basis without warranty of any kind. 1073726956 is maintained by the National Plan & Provider Enumeration System. The contents of Charles A. Wickware Et Al Ptr are for informational purposes only.