Organization
C1 LEGACY LLC
Active
Other names
Upper Cervical Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLYE PATZER (OWNER)
(512) 496-9774
Entity
Organization
Contact information
Practice address
225 S DAVID ST, SAN ANGELO, TX 76903-6335
(325) 655-3666
Mailing address
225 S DAVID ST, SAN ANGELO, TX 76903-6335
(325) 655-3666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10157
TX
Other
Enumeration date
11/17/2011
Last updated
05/02/2012
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