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Organization
LAKE GRANBURY CHIROPRACTIC CTR.
Active
Organization
LAKE GRANBURY CHIROPRACTIC CTR.
Active
Other names
FAMILY CHIROPRACTIC ASSO., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MONTE WAYNE HUDSON D.C. (PRESIDENT)
(817) 579-0178
Entity
Organization
Contact information
Practice address
1920 ACTON HWY, GRANBURY, TX 76049-5988
(817) 579-0178
(817) 573-0441
Mailing address
1920 ACTON HWY, GRANBURY, TX 76049-5988
(817) 579-0178
(817) 573-0441
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4673
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z00H63E8
—
TX
Enumeration date
12/13/2005
Last updated
08/22/2020
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