Organization
EAST TEXAS CHIROPRACTIC OF JASPER, PA
Active
Other names
Michael T. Fleck DC PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIC LEE LANGFORD D.C. (OWNER)
(409) 384-7776
Entity
Organization
Contact information
Practice address
799 W. GIBSON, STE 700, JASPER, TX 75948
(409) 384-7776
(409) 384-7779
Mailing address
799 W. GIBSON, STE 700, JASPER, TX 75948
(409) 384-7776
(409) 384-7779
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11267
TX
111N00000X
Chiropractor
11268
TX
111N00000X
Chiropractor
DC6063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0884470-01
—
TX
01
—
DC6063
STATE LICENSE NUMBER
TX
Enumeration date
03/26/2007
Last updated
08/28/2012
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