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Individual

DR. BRENT STEWART BULTEMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3207 NEW BOSTON RD, TEXARKANA, TX 75501-3133
(903) 832-8765
(903) 832-6060
Mailing address
3207 NEW BOSTON RD, TEXARKANA, TX 75501-3133
(903) 832-8765
(903) 832-6060

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5532
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8AJ387
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
08/21/2006
Last updated
08/20/2008
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