Individual
BRUEN C GOOLSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
13210 US HIGHWAY 87 W, LAVERNIA, TX 78121
(830) 253-7246
Mailing address
PO BOX 675, LA VERNIA, TX 78121-0675
(830) 253-7246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609669
—
TX
Enumeration date
06/01/2005
Last updated
01/27/2009
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