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Organization
NACOGDOCHES WELLNESS
Active
Organization
NACOGDOCHES WELLNESS
Active
Other names
nacogdoches wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALLEN LUQUETTE DO (OWNER)
(936) 569-0200
Entity
Organization
Contact information
Practice address
4721 NORTH ST, NACOGDOCHES, TX 75965-1874
(936) 569-0200
Mailing address
4721 NORTH ST, NACOGDOCHES, TX 75965-1874
(936) 569-0200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80020S
BCBS
TX
Enumeration date
01/08/2025
Last updated
01/08/2025
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