Individual
DR. CARL EDWARD BROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6170 IH 10 E, BUILDING 2, SAN ANTONIO, TX 78219-4507
(210) 661-4800
(210) 661-4808
Mailing address
14873 GRANADA DR, UNIT 11, CORPUS CHRISTI, TX 78418-7902
(361) 949-7687
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9253
TX
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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