| Magnolia Chiropractic Clinic, Inc. | |
|
1212 Crosstimbers St, Houston, TX 77022-3910 | |
| (713) 923-4000 | |
| Not Available |
| Full Name | Magnolia Chiropractic Clinic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1212 Crosstimbers St, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316062292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC4643 (Texas) | Primary |
| Provider Name | Silvio Bruna |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063409217 PECOS PAC ID: 4587725239 Enrollment ID: I20081212000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Chiropractic Clinic, Inc. 1212 Crosstimbers St, Houston, TX 77022-3910 Ph: (713) 923-4000 | Magnolia Chiropractic Clinic, Inc. 1212 Crosstimbers St, Houston, TX 77022-3910 Ph: (713) 923-4000 |
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