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Organization

HICKORY CREEK REHAB AND CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NOEL ERNESTO MAIRENA D.C. (CHIROPRACTOR)
(903) 306-9640
Entity
Organization

Contact information

Practice address
3630 FM 2181, 120, HICKORY CREEK, TX 75065-7646
(940) 497-7246
Mailing address
3630 FM 2181, 120, HICKORY CREEK, TX 75065-7646
(940) 497-7246

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11640
TX

Other

Enumeration date
01/18/2012
Last updated
01/18/2012
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