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Organization
PUDNIK, INC
Active
Organization
PUDNIK, INC
Active
Other names
INNATE HEALTH CHIROPRACTOR
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY ECKHARDT DC (OWNER)
(972) 325-4456
Entity
Organization
Contact information
Practice address
1514 N GREENVILLE AVE, STE 340, ALLEN, TX 75002-1202
(972) 325-4456
(972) 635-5293
Mailing address
1413 CLEAR CREEK DR, ALLEN, TX 75002-2763
(972) 325-4456
(972) 635-5293
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
603787
BCBS
TX
Enumeration date
10/21/2008
Last updated
10/29/2013
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