Blue Heron Health Centers

NPI #1689857831 in Longview, Texas

Provider Information

NPI Number: 1689857831
Entity Type: Organization
Organization Name: Blue Heron Health Centers
Primary Specialty: Chiropractor
Enumeration Date: Dec 11, 2007
Last Updated: Sep 30, 2009

Practice Location

Address: 2143 GILMER RD.
City: Longview
State: Texas
ZIP Code: 75604
Phone: (903) 234-2886

Authorized Official

Name: MR. JEFFREY S. WHITE, D.C.
Title: DOCTOR/ADMINISTRATOR
Phone: (903) 234-2886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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