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Magnolia Wellness Center

Chiropractor in Beaumont, TX. Organization (NPI-2).

NPI number1295091981
StatusActive
Last updated in NPPESApr 26, 2012

Details

NPI
1295091981
Entity type
Organization (NPI-2)
Legal business name
Magnolia Wellness Center
Organization subpart
No
Enumeration date
Apr 6, 2012
Last updated
Apr 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor10319TXYes

Practice location

1846 Interstate 10 S
Suite 102
Beaumont, TX 77707-4439

Phone 409-833-0500 · Fax 409-842-3385

Mailing address

1846 Interstate 10 S
Suite 102
Beaumont, TX 77707-4439

Phone 409-833-0500 · Fax 409-842-3385

Authorized official

Jeffrey Stephen White
Chiropractor
4098330500

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