Organization
DCMDPA
Active
Other names
Buckner Back & Neck Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHA RAE MILLER DC (REPRESENTATIVE)
(214) 275-4124
Entity
Organization
Contact information
Practice address
2306 S BUCKNER BLVD, DALLAS, TX 75227-8605
(214) 275-4124
(214) 275-4408
Mailing address
2306 S BUCKNER BLVD, DALLAS, TX 75227-8605
(214) 275-4124
(214) 275-4408
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
5870
TX
Other
Enumeration date
11/21/2006
Last updated
08/15/2007
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