Individual
DR. MICAH BONNETT MORDECAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
200 W STATE HIGHWAY 6 STE 607, WACO, TX 76712-3984
(254) 751-1606
(866) 571-1622
Mailing address
200 W STATE HIGHWAY 6 STE 607, WACO, TX 76712-3984
(254) 751-1606
(866) 571-1622
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
6236
TX
Other
Enumeration date
12/12/2006
Last updated
07/07/2010
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