Individual
DR. COREY ALLEN WASICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1501 E RED RIVER ST, SUITE A2, VICTORIA, TX 77901-5522
(361) 485-1318
(361) 485-1327
Mailing address
PO BOX 468, VICTORIA, TX 77902-0468
(361) 485-1318
(316) 485-1327
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10335
TX
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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