Organization
EDDIE RETTSTATT DC, PC
Active
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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