DR. Daniel Ray Broom, D.C.

NPI #1053451443 in Tyler, Texas

Provider Information

NPI Number: 1053451443
Entity Type: Individual
Name: DR. Daniel Ray Broom, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Feb 7, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 535 W SOUTHWEST LOOP 323
Address 2: SUITE 205
City: Tyler
State: Texas
ZIP Code: 75701-9453
Phone: (903) 509-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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