Individual
DR. CODY BLAKE DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
851 E TRAVIS ST, LA GRANGE, TX 78945-2361
(979) 968-6400
(979) 968-6407
Mailing address
PO BOX 242, LA GRANGE, TX 78945-0242
(979) 968-6400
(979) 968-6407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350049531
RAILROAD MEDICARE
TX
01
—
605579
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/21/2006
Last updated
11/29/2012
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