Organization
BAKER BOULEVARD FAMILY CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A SIEJA D.C. (PRESIDENT)
(817) 595-9206
Entity
Organization
Contact information
Practice address
7201 BAKER BLVD, SUITE C-1, RICHLAND HILLS, TX 76118-5864
(817) 595-9206
(817) 595-9139
Mailing address
PO BOX 48413, WATAUGA, TX 76148-0413
(817) 595-9206
(817) 595-9139
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146380402
—
TX
Enumeration date
10/08/2009
Last updated
10/08/2009
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