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Charles A. Wickware Et Al Ptr

NPI #1073726956 in Kerrville, Texas

Provider Information

NPI Number
1073726956
Entity Type
Organization
Organization Name
Charles A. Wickware Et Al Ptr
Primary Specialty
Chiropractor
Enumeration Date
May 8, 2007
Last Updated
Feb 22, 2012

Practice Location

Address
144 FAIRWAY DR
Address 2
SUITE D
City
Kerrville
State
Texas
ZIP Code
78028-6455
Phone
(830) 792-4663

Authorized Official

Name
DR. CHARLES ALLEN WICKWARE, D.C.
Title
OWNER
Phone
(830) 792-4663

Specialties & Taxonomy Codes

Specialty
Chiropractor

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