Organization
AVANCE TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONDA B CHAPMAN (PRESIDENT)
(713) 807-1500
Entity
Organization
Contact information
Practice address
6300 GATEWAY BLVD E, EL PASO, TX 79905-2006
(915) 781-2273
(915) 781-0025
Mailing address
PO BOX 890008, HOUSTON, TX 77289-0008
(713) 807-1500
(713) 527-8558
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
8228
TX
111N00000X
Chiropractor
Primary
8452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007PC
BLUE CROSS BLUE SHIELD
TX
01
—
8U6640
BC-BS - DR JACKSON
TX
01
—
8W8900
BC-BS - DR. BALLMER
TX
Enumeration date
12/01/2006
Last updated
08/22/2020
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