Organization
CHIROPRACTIC CENTER OF EAST TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREACY COLLEEN HAGAN DC (CO-OWNER)
(936) 560-1113
Entity
Organization
Contact information
Practice address
181 COUNTY ROAD 238, NACOGDOCHES, TX 75961-7305
(936) 560-1113
(936) 560-3024
Mailing address
PO BOX 159, MARTINSVILLE, TX 75958-0159
(936) 560-1113
(936) 560-3024
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5968
TX
111N00000X
Chiropractor
6125
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528043437
NPI
TX
01
—
1922789010
NPI
TX
01
—
2583183
CIGNA
TX
01
—
8A6230
BLUE CROSS BLUE SHIELD
TX
01
—
8A6231
BLUE CROSS BLUE SHIELD
TX
01
—
9735052
CIGNA
TX
Enumeration date
06/25/2007
Last updated
08/22/2020
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