Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 7058 | TX |
NPI | 1013026293 |
---|---|
Provider Name | Viki Stein Seelig |
First Address | Dallas, TX 75230-6192 |
Second Address | Dallas, TX 75230-6192 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 09/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
65988 | (02) | TX |