Individual
DEAN DELBERT WIEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
603 E 1ST ST, ALICE, TX 78332-4808
(361) 664-1181
(361) 668-3911
Mailing address
603 E 1ST ST, ALICE, TX 78332-4808
(361) 664-1181
(361) 668-3911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8S3930
BLUE CROSS
TX
Enumeration date
02/13/2007
Last updated
07/08/2007
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