Individual
DR. DAVID SHANE KRENEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
626 E BRAZOS AVE, WEST COLUMBIA, TX 77486-2946
(979) 345-6325
(979) 848-3306
Mailing address
626 E BRAZOS AVE, WEST COLUMBIA, TX 77486-2946
(979) 345-6325
(979) 848-3306
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071313
BLUE LINK
—
01
—
10775118
CAQH
—
05
—
162392801
—
TX
01
—
607049
BC/BS
TX
01
—
652643
UHC
—
01
—
7953241
AETNA
TX
Enumeration date
09/15/2006
Last updated
05/24/2016
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