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Organization
LAWRENCE RAY BOGGS JR
Active
Organization
LAWRENCE RAY BOGGS JR
Active
Other names
Boggs Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE RAY BOGGS JR. DC (OWNER)
(806) 935-4003
Entity
Organization
Contact information
Practice address
613 E 1ST, DUMAS, TX 79029
(806) 935-4003
(806) 935-4003
Mailing address
PO BOX 1148, DUMAS, TX 79029-1148
(806) 935-4003
(806) 935-4003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC2294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600023
BCBS
TX
Enumeration date
03/07/2007
Last updated
02/25/2008
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