Organization
AFFINITY2 HEALTH CARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI K MOORE (MANAGER)
(903) 583-7411
Entity
Organization
Contact information
Practice address
417 N MAIN ST, BONHAM, TX 75418-4322
(903) 583-7411
(903) 583-9601
Mailing address
417 N MAIN ST, BONHAM, TX 75418-4322
(903) 583-7411
(903) 583-9601
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
4273
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073GW
BLUE CROSS GROUP NUMBER
TX
Enumeration date
05/01/2007
Last updated
10/29/2007
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