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Organization
JOSHUA CHIROPRACTIC PLLC
Active
Organization
JOSHUA CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY CHARLES PRUITT III DC (MEMBER)
(817) 645-8116
Entity
Organization
Contact information
Practice address
611 N BROADWAY ST, JOSHUA, TX 76058-6155
(817) 484-2707
Mailing address
611 N BROADWAY ST, JOSHUA, TX 76058-6155
(817) 484-2707
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4810
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014128-01
—
TX
Enumeration date
03/20/2007
Last updated
11/19/2008
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