Organization
11TH STREET CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUFFIE L ROME VI (BUSINESS OFFICE MANAGER)
(504) 467-0302
Entity
Organization
Contact information
Practice address
105 N 11TH ST, BEAUMONT, TX 77702-2212
(409) 838-0909
Mailing address
1919 VETERANS BOULEVARD, SUITE 200, KENNER, LA 70062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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