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Individual

DR. ADAM BOHNENBLUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
411 N WASHINGTON AVE STE 2200, DALLAS, TX 75246
(469) 334-0624
Mailing address
411 N WASHINGTON AVE STE 2200, DALLAS, TX 75246-1740
(469) 334-0624

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13057
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
152730
TEXAS BOARD OF CHIROPRACTIC EXAMINERS
TX
Enumeration date
01/23/2017
Last updated
04/30/2019
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