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Organization

A.G. BRADDICK, D.C., P.C.

Active
Other names
New Life Chiropractic Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY GEORGE BRADDICK D.C. (PRESIDENT)
(281) 446-1041
Entity
Organization

Contact information

Practice address
1305 1ST ST E, HUMBLE, TX 77338-4925
(281) 446-1041
(281) 446-4885
Mailing address
1305 1ST ST E STE A, HUMBLE, TX 77338-4855
(281) 446-1041
(281) 446-4885

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2170
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DO2351
MEDICARE RAILROAD
TX
Enumeration date
06/18/2008
Last updated
10/01/2009
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