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Organization

THRIVE FAMILY CHIROPRACTIC AND NUTRITION, PLLC

Active
Other names
Thrive Chiropractic and Regenerative Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIFFANY A CORONADO DC, PHARM D (OWNER)
(409) 347-8606
Entity
Organization

Contact information

Practice address
6356 PHELAN BLVD, BEAUMONT, TX 77706-6150
(409) 347-8606
(409) 420-3086
Mailing address
6356 PHELAN BLVD, BEAUMONT, TX 77706-6150
(409) 347-8606
(409) 420-3086

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
208100000X
Physical Medicine & Rehabilitation Physician
Primary
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
587017
MEDICARE
TX
Enumeration date
05/19/2017
Last updated
10/14/2022
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