Organization
GLEN HAYWOOD DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN HAYWOOD DC PC (OWNER)
(903) 887-1417
Entity
Organization
Contact information
Practice address
107 N GUN BARREL LN, GUN BARREL CITY, TX 75156-3724
(903) 887-1417
Mailing address
PO BOX 242, MABANK, TX 75147-0242
(903) 887-1417
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2459
TX
Other
Enumeration date
11/17/2008
Last updated
11/18/2008
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