Organization
GRASS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE J GRASS D.C. (OWNER)
(409) 751-0100
Entity
Organization
Contact information
Practice address
1031 N MAIN ST, LUMBERTON, TX 77657-7362
(409) 751-0100
(409) 751-0700
Mailing address
1031 N MAIN ST, LUMBERTON, TX 77657-7362
(409) 751-0100
(409) 751-0700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8350
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3330255
CIGNA HEALTHCARE
TX
01
—
606039
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
7342069
AETNA HEALTHCARE
TX
Enumeration date
12/30/2008
Last updated
11/14/2011
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