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Organization
MAIN STREET HEALTHCARE, LLC
Active
Organization
MAIN STREET HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE J. GRASS D.C. (OWNER)
(409) 751-0100
Entity
Organization
Contact information
Practice address
1031 N MAIN ST, LUMBERTON, TX 77657-7362
(409) 751-0100
(409) 751-0700
Mailing address
1031 N MAIN ST, LUMBERTON, TX 77657-7362
(409) 751-0100
(409) 751-0700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC8350
TX
Other
Enumeration date
03/22/2011
Last updated
08/14/2012
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