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Individual

DR. BRIAN BRENT BERNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2304 9TH ST, WICHITA FALLS, TX 76301-4031
(940) 696-9007
(940) 723-0807
Mailing address
2304 9TH ST, WICHITA FALLS, TX 76301-4031
(940) 696-9007
(940) 723-0807

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9671
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1144213570
P.A. NPI NUMBER
TX
05
165670101
TX
01
8CG501
BCBS
Enumeration date
12/07/2006
Last updated
10/30/2014
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