Individual
MR. DAXTON TATE KRUGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
14602 COMPASS ST, STE B, CORPUS CHRISTI, TX 78418-6207
(361) 949-2199
(361) 949-2847
Mailing address
14602 COMPASS ST, STE B, CORPUS CHRISTI, TX 78418-6207
(361) 949-2199
(361) 949-2847
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8577
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
606229
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/30/2006
Last updated
03/02/2010
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