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Organization
TRIUNE A CREATING WELLNESS CENTER
Active
Organization
TRIUNE A CREATING WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL CRUMP JR. DC (OWNER)
(512) 868-8900
Entity
Organization
Contact information
Practice address
1102 S AUSTIN AVE STE 103, GEORGETOWN, TX 78626-6756
(512) 868-8900
Mailing address
1102 S AUSTIN AVE STE 103, GEORGETOWN, TX 78626-6756
(512) 868-8900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052LZ
BCBS GROUP
TX
Enumeration date
02/10/2008
Last updated
02/10/2008
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