Northeast Texas Clinic Of Chiropractic, P.corp

NPI 1063726073 - Chiropractor - 111N00000X

NPI Details
NPI 1063726073
Enumeration Date 08/02/2010
Last Updated 08/02/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JACOB A JACOB
Position PRESIDENT
Phone (515) 447-5256
Fax
Practice Location
201 N COLLEGIATE DR STE 900
PARIS TX, 75460-1499, US
Phone (515) 447-5256
Fax
Business Location
201 N COLLEGIATE DR STE 900
PARIS TX, 75460-1499, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Texas
License Number 11474
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According to our database, Northeast Texas Clinic Of Chiropractic, P.corp NPI is 1063726073, taxonomy code is 111N00000X and license number is 11474, license state is located at Texas. Northeast Texas Clinic Of Chiropractic, P.corp physically located at 201 N Collegiate Dr Ste 900, Paris TX, 75460-1499. NPI Number 1033115704 has the healthcare provider type.

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1063726073 NPI number is provided on an as is basis without warranty of any kind. 1063726073 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Texas Clinic Of Chiropractic, P.corp are for informational purposes only.