Individual
GEORGE A DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5443 EVERHART RD STE C, CORPUS CHRISTI, TX 78411-4888
(361) 852-2211
(361) 852-2633
Mailing address
5443 EVERHART RD STE C, CORPUS CHRISTI, TX 78411-4888
(361) 852-2211
(361) 852-2633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
276768
MEDICARE GROUP
TX
Enumeration date
07/07/2006
Last updated
08/31/2020
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