Organization
GREATER TEXAS CLINIC OF CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANDREW MYLAN D.C. (PRESIDENT)
(979) 693-6800
Entity
Organization
Contact information
Practice address
2205 LONGMIRE DR, SUITE C, COLLEGE STATION, TX 77845-5267
(979) 693-6800
(979) 693-6829
Mailing address
2117 BLACKJACK DR, COLLEGE STATION, TX 77845-4171
(702) 686-9088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12143
TX
Other
Enumeration date
06/23/2014
Last updated
12/05/2014
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