Bratcher Injury & Wellness Center, P.A.
Chiropractor, Rehabilitation in Tyler, TX. Organization (NPI-2).
NPI number1891840666
StatusActive
Last updated in NPPESSep 2, 2010
Details
- NPI
- 1891840666
- Entity type
- Organization (NPI-2)
- Legal business name
- Bratcher Injury & Wellness Center, P.A.
- Organization subpart
- No
- Enumeration date
- Jan 24, 2007
- Last updated
- Sep 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | – | – | Yes |
Practice location
2140 W. Grande Blvd.Suite A
Tyler, TX 75703
Phone 903-561-6676 · Fax 903-561-7071
Mailing address
2140 W. Grande Blvd.Suite A
Tyler, TX 75703
Phone 903-561-6676 · Fax 903-561-7071
Authorized official
Luther Burbank Bratcher
Owner
9035616676
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