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Organization
KOALA HEALTH & WELLNESS CENTERS INC.
Active
Organization
KOALA HEALTH & WELLNESS CENTERS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN DEAN KIEKE D.C. (VICE PRESIDENT)
(713) 652-9777
Entity
Organization
Contact information
Practice address
4665 SW FWY, #214, HOUSTON, TX 77027
(713) 652-9777
(713) 651-0584
Mailing address
4665 SW FWY, #214, HOUSTON, TX 77027
(713) 652-9777
(713) 651-0584
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F004567
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008ER
BCBS GROUP ID
TX
Enumeration date
03/16/2007
Last updated
10/15/2021
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