Individual
DR. DWAYNE A KUBECKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
2334 HWY 361, SUITE 162, INGLESIDE, TX 78362-4127
(361) 776-0030
(361) 776-0731
Mailing address
2334 HWY 361, SUITE 162, INGLESIDE, TX 78362-4127
(361) 776-0030
(361) 776-0731
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5613511
AETNA #
TX
01
—
8AJ308
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/07/2007
Last updated
04/15/2010
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