Individual
DR. DANIEL RAY BROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
535 W SOUTHWEST LOOP 323, SUITE 205, TYLER, TX 75701-9453
(903) 509-8000
(903) 509-8014
Mailing address
535 W SOUTHWEST LOOP 323, SUITE 205, TYLER, TX 75701-9461
(903) 509-8000
(903) 509-8014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5438
TX
Other
Enumeration date
02/07/2007
Last updated
07/09/2007
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