Organization
AT HOME CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUWAYNE GARDNER DC (OWNER)
(979) 224-8151
Entity
Organization
Contact information
Practice address
1069 CR 200 ROAD, WEIMAR, TX 78962
(979) 224-8151
Mailing address
1618 W STATE HIGHWAY 71 # 526, LA GRANGE, TX 78945-5138
(979) 224-8151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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