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Organization
MAYFIELD CHIROPRACTIC
Active
Organization
MAYFIELD CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE ALLEN KUBECKA D.C. (CHIROPRACTOR)
(361) 776-0030
Entity
Organization
Contact information
Practice address
2168 HWY 361, INGLESIDE, TX 78362
(361) 776-0030
(361) 776-0731
Mailing address
2168 HWY 361, INGLESIDE, TX 78362
(361) 776-0030
(361) 776-0731
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC6561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091PZ
BCBS
TX
Enumeration date
10/10/2006
Last updated
01/14/2008
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