Organization
TRANQUILITY HEALTH CENTERS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY LLOYD DC (OWNER/PROVIDER)
(979) 774-5300
Entity
Organization
Contact information
Practice address
1121 BRIARCREST DR, SUITE #100, BRYAN, TX 77802-2505
(979) 268-0786
(979) 846-2136
Mailing address
PO BOX 12410, COLLEGE STATION, TX 77842-2410
(979) 774-5300
(979) 776-5173
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
8580
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025QW
BCBS
TX
Enumeration date
01/10/2008
Last updated
07/31/2008
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