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Individual

MICHAEL DEWAYNE VENNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3501 SONCY ST. STE # 1, AMARILLO, TX 79119-6405
(806) 356-7291
(806) 553-1598
Mailing address
3501 SONCY ST. STE # 1, AMARILLO, TX 79119-6405
(806) 356-7291
(806) 553-1598

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
11599
TX
111NN1001X
Nutrition Chiropractor
11599
TX
111NS0005X
Sports Physician Chiropractor
Primary
11599
TX

Other

Enumeration date
11/23/2010
Last updated
11/07/2018
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