Individual
BART B KEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
440 BENMAR DR STE 3400, HOUSTON, TX 77060-3169
(832) 448-7800
(832) 448-7801
Mailing address
440 BENMAR DR STE 3400, HOUSTON, TX 77060-3169
(832) 448-7800
(832) 448-7801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC6224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88690X
BCBS
TX
Enumeration date
11/07/2006
Last updated
07/25/2007
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