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Organization
NORTHEAST TEXAS CLINIC OF CHIROPRACTIC, P.CORP
Active
Organization
NORTHEAST TEXAS CLINIC OF CHIROPRACTIC, P.CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB A BONNER D.C. (PRESIDENT)
(515) 447-5256
Entity
Organization
Contact information
Practice address
201 N COLLEGIATE DR STE 900, PARIS, TX 75460-1499
(515) 447-5256
Mailing address
201 N COLLEGIATE DR STE 900, PARIS, TX 75460-1499
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11474
TX
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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