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Organization
PREDDY CHIROPRACTIC PC
Active
Organization
PREDDY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN GEORGE PREDDY DC (OWNER)
(903) 581-2776
Entity
Organization
Contact information
Practice address
921 SHILOH RD, STE A-200, TYLER, TX 75703-1431
(903) 581-2776
(903) 581-4035
Mailing address
921 SHILOH RD, STE A-200, TYLER, TX 75703-1431
(903) 581-2776
(903) 581-4035
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K9990
BLUECROSSBLUESHIELD
TX
05
—
C06050859
—
TX
Enumeration date
03/23/2007
Last updated
06/09/2011
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