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Individual

DR. SHAWN K SMALL

Active
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Individual

DR. SHAWN K SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14096
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14096
TEXAS BOARD OF CHIROPRACTIC
TX
Enumeration date
05/09/2019
Last updated
09/26/2019
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