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Organization
THRIVE FAMILY CHIROPRACTIC AND NUTRITION, PLLC
Active
Organization
THRIVE FAMILY CHIROPRACTIC AND NUTRITION, PLLC
Active
Other names
Thrive Chiropractic and Regenerative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY A CORONADO DC, PHARM D (OWNER)
(409) 347-8606
Entity
Organization
Contact information
Practice address
6356 PHELAN BLVD, BEAUMONT, TX 77706-6150
(409) 347-8606
(409) 420-3086
Mailing address
6356 PHELAN BLVD, BEAUMONT, TX 77706-6150
(409) 347-8606
(409) 420-3086
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/19/2017
Last updated
10/14/2022
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