Organization
EDDIE RETTSTATT DC, PC
Active
Other names
Family Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE RETTSTATT DC, PC (CHIROPRACTOR)
(817) 249-6761
Entity
Organization
Contact information
Practice address
8507 HIGHWAY 377 S, BENBROOK, TX 76126-2561
(817) 249-6761
(817) 249-6780
Mailing address
8507 HIGHWAY 377 S, BENBROOK, TX 76126-2561
(817) 249-6761
(817) 249-6780
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285688945
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/02/2007
Last updated
07/21/2022
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