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Organization
ULTIMATE FUNCTION CHIROPRACTIC, LLC
Active
Organization
ULTIMATE FUNCTION CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE LUIS NIETO D.C. (OWNER)
(915) 850-0900
Entity
Organization
Contact information
Practice address
1700 N ZARAGOZA RD, SUITE 117, EL PASO, TX 79936-7963
(915) 850-0900
(915) 850-0903
Mailing address
1700 N ZARAGOZA RD, SUITE 117, EL PASO, TX 79936-7963
(915) 850-0900
(915) 850-0903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F007881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058QC
BCBSOF TEXAS
TX
01
—
9263112
AETNA
TX
Enumeration date
07/13/2007
Last updated
05/19/2008
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