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Organization
VICTORIA SPINAL CARE CENTER
Active
Organization
VICTORIA SPINAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY ELAINE GLINES D.C. (CHIROPRACTOR)
(361) 570-6600
Entity
Organization
Contact information
Practice address
4002 JOHN STOCKBAUER DR, SUITE A, VICTORIA, TX 77904-2452
(361) 570-6600
(361) 570-6601
Mailing address
4002 JOHN STOCKBAUER DR, SUITE A, VICTORIA, TX 77904-2452
(361) 570-6600
(361) 570-6601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092QQ
BCBS GROUP
TX
Enumeration date
01/03/2008
Last updated
01/03/2008
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