Organization
SOUTH TEXAS SPORTS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKKEL BAHAMONDES DC (OWNER)
(813) 512-9903
Entity
Organization
Contact information
Practice address
7534 LASSO DR, CORPUS CHRISTI, TX 78414
(813) 512-9903
Mailing address
7534 LASSO DR, CORPUS CHRISTI, TX 78414
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Enumeration date
11/01/2020
Last updated
12/21/2021
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