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Individual

DR. MARC E HAGEBUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
7000
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
89Y563
BLUE CROSS
TX
01
91929
BLUE CROSS GROUP
AR
05
91929
AR
01
98206
BLUE CROSS INDIVIDUAL
AR
05
PO89Y5638
TX
Enumeration date
07/13/2005
Last updated
07/13/2026
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