Organization
H.Q. CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN CASEY QUIROZ D.C. (DOCTOR OF CHIROPRACTIC)
(432) 363-8182
Entity
Organization
Contact information
Practice address
4100 BONHAM AVE, ODESSA, TX 79762-6204
(432) 363-8182
(432) 363-0952
Mailing address
4100 BONHAM AVE, ODESSA, TX 79762-6204
(432) 363-8182
(432) 363-0952
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TX10226DC
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215955521
INDIVIDUAL TYPE 1 NPI
TX
Enumeration date
12/10/2007
Last updated
12/10/2007
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