Individual
DR. BRENT RICHARD PROCTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
213 OLD ANNETTA RD., ALEDO, TX 76008
(817) 441-2810
(817) 441-2811
Mailing address
PO BOX 189, ALEDO, TX 76008-0189
(817) 441-2810
(817) 441-2811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9372
TX
Other
Enumeration date
09/26/2006
Last updated
12/19/2007
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