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Organization
PHILLIP K. LEBLANC
Active
Organization
PHILLIP K. LEBLANC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP KEITH LEBLANC D.C. (OWNER)
(409) 833-3080
Entity
Organization
Contact information
Practice address
1595 CORNERSTONE CT STE A, BEAUMONT, TX 77706-3899
(409) 833-3080
(409) 833-9343
Mailing address
1595 CORNERSTONE CT STE A, BEAUMONT, TX 77706-3899
(409) 833-3080
(409) 833-9343
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164324901
—
TX
Enumeration date
08/07/2007
Last updated
06/27/2008
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