Individual
DALE ALAN SOUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3206 MANVEL RD, PEARLAND, TX 77584-7580
(281) 997-8788
(281) 997-8797
Mailing address
3206 MANVEL RD, PEARLAND, TX 77584-7580
(281) 997-8788
(281) 997-8797
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6914
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001896201
—
TX
01
—
605368
BCBS
TX
Enumeration date
08/12/2006
Last updated
12/11/2012
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