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Individual

JAMES R KIESER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5634 HIGHWAY 78, SUITE 120, SACHSE, TX 75048-3773
(972) 496-4200
(972) 496-4400
Mailing address
5634 HIGHWAY 78, SUITE 120, SACHSE, TX 75048-3773
(972) 496-4200
(972) 496-4400

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
8576
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8A7641
BCBS INDIVIDUAL ID#
TX
Enumeration date
06/22/2006
Last updated
01/22/2008
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