Healthcare Provider Details

I. General information

NPI: 1881826188
Provider Name (Legal Business Name): MUA SERVICES OF TEXAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2009
Last Update Date: 08/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 HOFFMAN DR
DUBLIN TX
76446-1120
US

IV. Provider business mailing address

PO BOX 380
DUBLIN TX
76446-0380
US

V. Phone/Fax

Practice location:
  • Phone: 254-445-2200
  • Fax: 254-445-2404
Mailing address:
  • Phone: 254-445-2200
  • Fax: 254-445-2404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number2405
License Number StateTX

VIII. Authorized Official

Name: DR. RONNIE RAY HUSE
Title or Position: CEO
Credential: DC
Phone: 254-445-2200