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Individual

DR. RAYMOND T. DURHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
400 DEL WEBB BLVD, STE 103B, GEORGETOWN, TX 78628-4484
(512) 864-2880
(512) 864-2881
Mailing address
400 DEL WEBB BLVD, STE 103B, GEORGETOWN, TX 78628-4484
(512) 864-2880
(512) 864-2881

Taxonomy

Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
7228
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
605681
BLUECROSS BLUESHIELD TX
TX
01
667532
ACN GROUP
TX
01
8265913
BLUE LINK
TX
01
DC7228
CHIROPRACTIC LICENSE
TX
Enumeration date
05/31/2005
Last updated
01/15/2009
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