Organization
ALDEN BRIDGE CHIROPRATIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS MICHAEL CIANCIULLI JR. D.C. (PRESIDENT)
(281) 367-8101
Entity
Organization
Contact information
Practice address
25802 INTERSTATE 45, SUITE A, SPRING, TX 77386-1032
(281) 367-8101
(281) 367-8209
Mailing address
25802 INTERSTATE 45, SUITE A, SPRING, TX 77386-1032
(281) 367-8101
(281) 367-8209
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010HD
BLUE CROSS BLUE SHIELD
TX
01
—
DF2635
MEDICARE RR
TX
Enumeration date
11/13/2007
Last updated
03/11/2014
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