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Organization
STOLBA CHIROPRACTIC CENTER P.C.
Active
Organization
STOLBA CHIROPRACTIC CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DALE STOLBA D.C. (OWNER)
(903) 794-7981
Entity
Organization
Contact information
Practice address
507 MAIN ST, TEXARKANA, TX 75501-5503
(903) 794-7981
Mailing address
507 MAIN ST, TEXARKANA, TX 75501-5503
(903) 794-7981
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1623
AR
111N00000X
Chiropractor
Primary
9041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026HJ
GROUP #
TX
01
—
5F123
GROUP #
AR
01
—
5X792
PROVIDER #
AR
01
—
8F123
PROVIDER #
TX
Enumeration date
09/26/2006
Last updated
08/22/2020
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