Organization
BRADDOCK CHIROPRACTIC AND FAMILY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB BRADDOCK (DOCTOR)
(903) 482-1234
Entity
Organization
Contact information
Practice address
119 N. MAIN ST., VAN ALSTYNE, TX 75495
(903) 482-1234
(903) 482-1232
Mailing address
PO BOX 1782, VAN ALSTYNE, TX 75495-1782
(903) 482-1234
(903) 482-1232
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8X8450
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/14/2007
Last updated
04/23/2010
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