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Organization
VASSAUR CHIROPRACTIC, P.C.
Active
Organization
VASSAUR CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D. VASSAUR D.C. (DOCTOR/OWNER)
(361) 516-0751
Entity
Organization
Contact information
Practice address
425 E KING AVE, KINGSVILLE, TX 78363-5666
(361) 516-0751
(361) 516-0753
Mailing address
PO BOX 988, KINGSVILLE, TX 78364-0988
(361) 516-0751
(361) 516-0753
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605074
MEDICARE PTAN
TX
01
—
6496
LICENSE
TX
01
—
U52456
UPIN
TX
Enumeration date
11/08/2007
Last updated
11/08/2007
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