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Organization

PERFORMANCE HEALTH AND WELLNESS

Active
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Organization

PERFORMANCE HEALTH AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RHEAGAN KHRISHA MULDER D.C. (CHIROPRACTOR)
(979) 451-9111
Entity
Organization

Contact information

Practice address
204 S PARK ST, BRENHAM, TX 77833-3646
(979) 451-9111
Mailing address
204 S PARK ST, BRENHAM, TX 77833-3646
(979) 451-9111

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11430
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124343322
TYPE 1 NPI
TX
Enumeration date
02/16/2011
Last updated
02/16/2011
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