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Organization

INTEGRATED CHIROPRACTIC WELLNESS, PLLC

Active
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Organization

INTEGRATED CHIROPRACTIC WELLNESS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTEN K UDE D.C. (OWNER)
(512) 970-8883
Entity
Organization

Contact information

Practice address
1600 W 38TH ST, SUITE 412, AUSTIN, TX 78731-6400
(512) 970-8883
Mailing address
1600 W 38TH ST, SUITE 412, AUSTIN, TX 78731-6400
(512) 970-8883

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
10555
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0012PN
BCBS ID
TX
Enumeration date
04/03/2007
Last updated
01/08/2008
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