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Individual

DR. MARK RICHARD BRONSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
4065
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001251001
TX
01
4065
STATE LICENSE
TX
01
751839034
TAX ID
TX
Enumeration date
02/15/2006
Last updated
02/20/2020
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