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Organization
MONTGOMERY CHIROPRACTIC, P.C.
Active
Organization
MONTGOMERY CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY REWEL MONTGOMERY D.C. (PRESIDENT)
(254) 939-5801
Entity
Organization
Contact information
Practice address
401 E 6TH AVE, BELTON, TX 76513-2667
(254) 939-5801
(254) 939-2229
Mailing address
401 E 6TH AVE, BELTON, TX 76513-2667
(254) 939-5801
(254) 939-2229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
111N00000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041JF
BC/BS GROUP ID#
TX
Enumeration date
07/10/2006
Last updated
10/03/2008
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