Organization
MOSS BLUFF CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD RICHARD D.C. (OWNER)
(337) 855-6306
Entity
Organization
Contact information
Practice address
119 TAHOE DR, LAKE CHARLES, LA 70611-5109
(337) 855-6306
(337) 855-7012
Mailing address
PO BOX 12571, LAKE CHARLES, LA 70612-2571
(337) 855-6306
(337) 855-7012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/10/2007
Last updated
03/20/2024
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