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Organization
TYLER COUNTY CHIROPRACTIC P.L.L.C.
Active
Organization
TYLER COUNTY CHIROPRACTIC P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL MARTIN BROFMAN D.C. (PRESIDENT)
(409) 283-8133
Entity
Organization
Contact information
Practice address
1101 W BLUFF ST, WOODVILLE, TX 75979-4737
(409) 283-8133
(409) 283-8134
Mailing address
1101 W BLUFF ST, WOODVILLE, TX 75979-4737
(409) 283-8133
(409) 283-8134
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00346R
MEDICARE
TX
01
—
0071653
BLUELINK
TX
01
—
8A8401
BC/BS
TX
Enumeration date
01/07/2008
Last updated
01/07/2008
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