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Organization

BRUCE D WOODS JR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM SIVARAMAN (BILLING MANAGER)
(214) 618-5600
Entity
Organization

Contact information

Practice address
4204 LAFAYETTE ST, APT 1235, DALLAS, TX 75204-4485
(214) 618-5600
(214) 618-7733
Mailing address
4204 LAFAYETTE ST, APT 1235, DALLAS, TX 75204-4485
(214) 618-5600
(214) 618-7733

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
02/16/2012
Last updated
02/16/2012
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