Individual
MR. DANNY R KILLOUGH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CH
Contact information
Practice address
106 N 7TH STREET, BALLINGER, TX 76821
(325) 365-8888
(325) 365-2331
Mailing address
106 N 7TH STREET, BALLINGER, TX 76821
(325) 365-8888
(325) 365-2331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC8055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AD915
BLUE CROSS BLUE SHIELD
TX
01
—
D00263259
RAILROAD MEDICARE
TX
Enumeration date
09/20/2006
Last updated
03/19/2008
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