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Individual

KEVIN DYKES SHRUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6127 SAN PEDRO # 2, SAN ANTONIO, TX 78216-7204
(210) 748-7200
(210) 293-3458
Mailing address
PO BOX 310701, NEW BRAUNFELS, TX 78131-0701
(210) 748-7200
(210) 293-3458

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
7886DC
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7886DC
TBCE LIC. NO.
TX
Enumeration date
12/12/2006
Last updated
06/27/2008
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