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Contact Information

BRENT BULTEMEIER PA
3207 NEW BOSTON ROAD
TEXARKANA, TX75501
 Phone: 903-832-8765
 Fax: 903-832-6060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BRENT BULTEMEIER PA

NPI Number 1134248271
LBN Legal business name BRENT BULTEMEIER PA
Authorized official BRENT BULTEMEIER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2007
Last updated 08/20/2008 - About 18 years ago
Identifiers
TX License # 5532
TX Other 0072QD BLUE CROSS BLUE SHIELD OF TX
TX Other DE5478 RAILROAD MEDICARE
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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