11th Street Chiropractic Clinic, LLC
NPI #1629111661 in Beaumont, Texas
Provider Information
- NPI Number
- 1629111661
- Entity Type
- Organization
- Organization Name
- 11th Street Chiropractic Clinic, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Feb 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- BUFFIE L ROME VI
- Title
- BUSINESS OFFICE MANAGER
- Phone
- (504) 467-0302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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