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Brent Bultemeier Pa
Chiropractor in Texarkana, Texas
NPI 1134248271

Brent Bultemeier Pa is a Chiropractor based in Texarkana, TX. Brent Bultemeier Pa practices in Texarkana, TX. The NPI Number for Brent Bultemeier Pa is 1134248271 and holds a License No. 5532 (Texas).

The current practice location address for Brent Bultemeier Pa is 3207 New Boston Road, Texarkana, TX and can be reached out via phone at 903-832-8765 and via fax at 903-832-6060. You can also correspond with Brent Bultemeier Pa through the mailing address at 3207 NEW BOSTON ROAD, TEXARKANA, TX - 75501 (mailing address contact number: 903-832-8765).

Location: 3207 New Boston Road, Texarkana, TX, 75501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134248271
Provider Name
Brent Bultemeier Pa
Credential
Provider Entity Type
Organization
Address
3207 New Boston Road, Texarkana, TX, 75501
Phone Number
903-832-8765
Fax Number
903-832-6060
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0072QD 01 TX BLUE CROSS BLUE SHIELD OF TX
DE5478 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3207 New Boston Road
City
Texarkana
State
Texas
Zip
75501
Phone Number
903-832-8765
Fax Number
903-832-6060
person
Provider Business Mailing Address Details
Address
3207 New Boston Road
City
Texarkana
State
Texas
Zip
75501
Phone Number
903-832-8765
Fax Number
903-832-6060
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5532 (Texas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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