Individual
DR. MARC E HAGEBUSCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3801 N STATE LINE AVE, TEXARKANA, TX 75503-3132
(903) 792-3763
(903) 792-6898
Mailing address
3506 PINE ST, TEXARKANA, TX 75503-3666
(903) 244-3496
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
07/09/2007
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