Organization
GLEN R TESSMAN
Active
Organization
GLEN R TESSMAN
Active
Other names
Tessman family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN R TESSMAN DC (OWNER/PROVIDER)
(817) 641-9700
Entity
Organization
Contact information
Practice address
306 GRANBURY ST, SUITE B, CLEBURNE, TX 76033-4853
(817) 641-9700
(817) 641-8190
Mailing address
306 GRANBURY ST, SUITE B, CLEBURNE, TX 76033-4853
(817) 641-9700
(817) 641-8190
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
9660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
606678
BCBS
TX
01
—
660416
ACN
TX
01
—
973406
GALAXY HEALTH
TX
01
—
P00073579
RR MEDICARE
TX
Enumeration date
12/10/2007
Last updated
12/10/2007
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