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Contact Information

BRADDOCK CHIROPRACTIC AND FAMILY WELLNESS
119 N. MAIN ST.
VAN ALSTYNE, TX75495
 Phone: 903-482-1234
 Fax: 903-482-1232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BRADDOCK CHIROPRACTIC AND FAMILY WELLNESS

NPI Number 1053506857
LBN Legal business name BRADDOCK CHIROPRACTIC AND FAMILY WELLNESS
Authorized official CALEB BRADDOCK - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2007
Last updated 04/23/2010 - About 16 years ago
Identifiers
TX License # 10170
TX Other 8X8450 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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