Individual
DR. CHARLES DOUGLAS TILLOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1124 N LOCUST ST, DENTON, TX 76201-2958
(940) 382-6141
(940) 382-3992
Mailing address
1124 N LOCUST ST, DENTON, TX 76201-2958
(940) 382-6141
(940) 382-3992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8G3257
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/25/2006
Last updated
07/08/2007
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