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Organization
WILLIS SPINE & REHABILITATION
Active
Organization
WILLIS SPINE & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD R CUSTER D.C., A.T.C. (OWNER/DOCTOR)
(936) 856-8908
Entity
Organization
Contact information
Practice address
804 W MONTGOMERY ST, SUITE A, WILLIS, TX 77378-8830
(936) 856-8908
(936) 856-8022
Mailing address
804 W MONTGOMERY ST, SUITE A, WILLIS, TX 77378-8830
(936) 856-8908
(936) 856-8022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10274
TX
Other
Enumeration date
12/13/2011
Last updated
04/29/2013
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