Individual
ERIC S KUCERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1131 A MAIN, EAST BERNARD, TX 77435-9227
(979) 335-4500
(979) 335-4545
Mailing address
107 LIVE OAK DR, VAN VLECK, TX 77482-9764
(979) 335-4500
(979) 335-4545
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC7950
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605855
BCBS
TX
01
—
DC7950
WC
TX
01
—
P00379816
RR MEDICARE
TX
Enumeration date
08/23/2006
Last updated
05/13/2008
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