Individual
COLIN TKACHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6224 COLLEYVILLE BLVD, STE B, COLLEYVILLE, TX 76034-6276
(817) 481-9339
(817) 481-9669
Mailing address
6224 COLLEYVILLE BLVD, STE B, COLLEYVILLE, TX 76034-6276
(817) 481-9339
(817) 481-9669
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608079
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
02/01/2008
Last updated
08/08/2008
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