Individual
CHARLES DOUGLAS VADEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
214 NE WILSHIRE BLVD, BURLESON, TX 76028-4117
(817) 705-6611
Mailing address
PO BOX 961, JOSHUA, TX 76058-0961
(817) 705-6611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC6795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605346
BCBS
TX
Enumeration date
12/18/2006
Last updated
07/08/2007
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