Individual
DR. JERRY WAYNE VITEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12122 HIGHWAY 6, SANTA FE, TX 77510-2021
(409) 925-1803
(409) 925-8812
Mailing address
PO BOX 589, SANTA FE, TX 77517-0589
(409) 925-1803
(409) 925-8812
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5884
TX
Other
Enumeration date
06/23/2006
Last updated
08/01/2008
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