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Individual

DR. ALVIN JOSEPH RICHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2000 PANTHER LN, LIBERTY, TX 77575-3227
(936) 334-0004
(936) 334-0010
Mailing address
2000 PANTHER LN, LIBERTY, TX 77575-3227
(936) 334-0004
(936) 334-0010

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9198
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181646401
TX
01
8J1260
BC/BS OF TEXAS
TX
Enumeration date
11/28/2006
Last updated
02/12/2009
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