HOUSEAL ENTERPRISES
Managed Care Organizations at Frontage Rd, Vicksburg, MS

License number
Mississippi 400
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. THOMAS WARREN HOUSEAL D.C
Title: CHIROPRACTOR
Phone: (601) 634-1600
Address
Address
1825 N Frontage Rd SUITE D, Vicksburg, MS 39180
National Provider ID: 1538437991
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HOUSEAL ENTERPRISES, INC

1825 N Frontage Rd, Vicksburg, MS 39180

State ID:
675934
Incorporators:
Tom Houseal (Director, President), 336 Claremont Cir, Vicksburg, MS 39183,Thomas W Houseal (Incorporator), 1825 N Frontage Rd #D, Vicksburg, MS 39180,Lucy S Houseal (Incorporator), 1825 N Frontage Rd #D, Vicksburg, MS 39180

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