Individual
DR. CYNTHIA GRILK ENGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
738 WALNUT STREET, SUITE A, COLUMBUS, TX 78939-2304
(979) 732-6186
Mailing address
738 WALNUT STREET, SUITE A, COLUMBUS, TX 78939-2304
(979) 732-6186
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602037
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/01/2007
Last updated
07/08/2007
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