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Organization
LA GRANGE CHIROPRACTIC CLINIC PA
Active
Organization
LA GRANGE CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA EILERT CA (OFFICE MANAGER)
(979) 968-3340
Entity
Organization
Contact information
Practice address
250 E COLORADO ST, LA GRANGE, TX 78945-2244
(979) 968-3340
(979) 968-6630
Mailing address
250 E COLORADO ST, LA GRANGE, TX 78945-2244
(979) 968-3340
(979) 968-6630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F002082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L41L
BCBS PROVIDER NUMBER
TX
Enumeration date
10/05/2006
Last updated
04/04/2012
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