| 100 Percent Chiropractic Rch, Llc | |
|
3610 Shire Blvd Ste 102, Richardson, TX 75082-2239 | |
| (469) 562-4347 | |
| Not Available |
| Full Name | 100 Percent Chiropractic Rch, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3610 Shire Blvd Ste 102, Richardson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487211777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Luis J Maldonado Ortiz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619423654 PECOS PAC ID: 3678855343 Enrollment ID: I20170110000712 |
| Provider Name | Norman Alberto Quintero |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689328684 PECOS PAC ID: 6103262860 Enrollment ID: I20240315003137 |
| Provider Name | Kellye Hamm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225490758 PECOS PAC ID: 9537500152 Enrollment ID: I20240514003390 |
| Mailing Address | Practice Location Address |
|---|---|
| 100 Percent Chiropractic Rch, Llc 3610 Shire Blvd Ste 102, Richardson, TX 75082-2239 Ph: (469) 562-4347 | 100 Percent Chiropractic Rch, Llc 3610 Shire Blvd Ste 102, Richardson, TX 75082-2239 Ph: (469) 562-4347 |
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