Organization
ALEDO TEXAS FAMILY CHIROPRACTIC LLC DBA TEXAS FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT RICHARD PROCTER DC (CHIROPRACTOR/OWNER)
(817) 441-2810
Entity
Organization
Contact information
Practice address
213 OLD ANNETTA RD, ALEDO, TX 76008-4455
(817) 441-2810
Mailing address
PO BOX 189, ALEDO, TX 76008-0189
(817) 441-2810
(817) 441-2811
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780785584
INDIVIDUAL NPI
TX
01
—
7555364
AETNA
TX
Enumeration date
10/10/2018
Last updated
10/10/2018
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