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Individual

TONY G. ABOUDIB

Active
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Individual

TONY G. ABOUDIB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009361
MI
111N00000X
Chiropractor
DC4634
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
179719500
US DEPT. OF LABOR
TX
01
BLUE CROSS
603589
TX
Enumeration date
12/18/2006
Last updated
02/17/2010
About Stedi
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