Organization
ADVANCED CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA L WHITE BSN, DC (OWNER)
(936) 560-5441
Entity
Organization
Contact information
Practice address
1602 E STARR AVE STE 201, NACOGDOCHES, TX 75961-4312
(936) 560-5441
(936) 560-5428
Mailing address
1602 E STARR AVE STE 201, NACOGDOCHES, TX 75961-4312
(936) 560-5441
(936) 560-5428
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC5020
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001454001
—
TX
Enumeration date
08/10/2012
Last updated
08/10/2012
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