JETER CHIROPRACTIC PC
Managed Care Organizations at House St, Alvin, TX

License number
Texas 8141
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. VINCENT W JETER DC
Title: OWNER
Phone: (281) 331-4213
Address
Address
316 E House St, Alvin, TX 77511
National Provider ID: 1689003295
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JETER CHIROPRACTIC, PC

PO Box 1385, Alvin, TX 77512

Registration:
Jun 17, 1999
State ID:
0092557902
Business type:
Domestic Professional Corporation
President, Treasurer, Secretary:
Vincent W Jeter (President, Treasurer, Secretary), 1113 Crk 136A, Alvin, TX 77511
Agent:
David D Balkum,1730 Nasa Rd 1, Houston, TX 77058 (Physical)
TIN:
32001609315

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