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NPI Code Detail

MEDICARE: DODSON FAMILY CHIROPRACTIC LLC

MEDICARE: DODSON FAMILY CHIROPRACTIC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1104837731
Entity Type Code : Organization
Provider Name (Legal Business Name) : DODSON FAMILY CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 311 LAFAYETTE ST
Second Line :
City : PITTSBURG
State : TX
Zip : 75686-1709
Country : US
Telephone Number : 903-856-7771
Fax Number : 903-856-7772
Provider Business Practice Location Address
First Line : 311 LAFAYETTE ST
Second Line :
City : PITTSBURG
State : TX
Zip : 75686-1709
Country : US
Telephone Number : 903-856-7771
Fax Number : 903-856-7772
Authorized Official
Title or Position : BILLING MANAGER
Name : JACQUE KEIL
Credential :
Telephone Number : 866-933-1381
Provider Enumeration Date : 08/10/2006
Last Update Date : 07/19/2012

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Directions to “DODSON FAMILY CHIROPRACTIC LLC ” Practice Location

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