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Organization

INGRAM HEALTH CARE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTOFER TODD INGRAM D.C. (PRESIDENT)
(903) 567-5579
Entity
Organization

Contact information

Practice address
921 W DALLAS ST, CANTON, TX 75103-1009
(903) 567-5579
(903) 567-5938
Mailing address
921 W DALLAS ST, CANTON, TX 75103-1009
(903) 567-5579
(903) 567-5938

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC6688
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
$$$$$$$$$
SSN
TX
01
87390Y
BC BS
TX
01
87391Y
BC BS
TX
Enumeration date
03/26/2007
Last updated
05/21/2020
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