Organization
DOLEZAL CHIROPRACTIC & REHABILITATION PROFESSIONAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DWAYNE DOLEZAL DC (OWNER)
(361) 852-4593
Entity
Organization
Contact information
Practice address
5202 WEBER RD, SUITE B, CORPUS CHRISTI, TX 78411
(361) 852-4593
(361) 852-0062
Mailing address
PO BOX 270967, CORPUS CHRISTI, TX 78427-0967
(361) 852-4593
(361) 852-0062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6537
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088479302
—
TX
Enumeration date
08/01/2007
Last updated
08/01/2007
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