Individual
BRANDON CRUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3301 66TH ST STE A, LUBBOCK, TX 79413-5773
(806) 785-3100
(806) 785-3101
Mailing address
3301 66TH ST STE A, LUBBOCK, TX 79413-5773
(806) 785-3100
(806) 785-3101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9386
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8H1490
BLUE CROSS BLUE SHEILD
TX
Enumeration date
12/05/2006
Last updated
07/08/2007
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