Organization
C.I.R.C.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS G. CAUGHRON D.C. (OWNER)
(361) 551-2273
Entity
Organization
Contact information
Practice address
2 VIRGINIA PL, PORT LAVACA, TX 77979-2510
(361) 551-2273
(361) 552-1782
Mailing address
2 VIRGINIA PL, PORT LAVACA, TX 77979-2510
(361) 551-2273
(361) 552-1782
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC7271
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
TX
01
—
0092LW
BCBS GROUP #
TX
01
—
3199091
AETNA
TX
01
—
DR9334
RAILROAD
TX
Enumeration date
06/19/2006
Last updated
05/21/2020
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