Individual
DR. BODRE M RISING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5755 COLLEGE ST, BEAUMONT, TX 77707-3518
(409) 840-9300
(409) 842-4960
Mailing address
5755 COLLEGE ST, BEAUMONT, TX 77707-3518
(409) 840-9300
(409) 842-4960
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC8324
TX
Other
Enumeration date
07/03/2006
Last updated
09/28/2010
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