Organization
BUCKNER 30 CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUFFIE L ROME IV (EXECTUIVE ASSISTANT)
(504) 467-0302
Entity
Organization
Contact information
Practice address
3040 N BUCKNER BLVD, SUITE 102, DALLAS, TX 75228-5282
(214) 660-0016
Mailing address
1919 VETERANS BLVD, SUITE 200, KENNER, LA 70062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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