| 633 Chiropractic Llc | |
|
308 N Gray St # B, Killeen, TX 76541-5245 | |
| (225) 522-1380 | |
| (888) 620-8147 |
| Full Name | 633 Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 308 N Gray St # B, Killeen, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366930208 | NPI | - | NPPES |
| 1780059295 | Other | NPI | |
| 392409401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 13635 (Texas) | Primary |
| Provider Name | Iperlitta Vance Lolis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780059295 PECOS PAC ID: 3971800012 Enrollment ID: I20181206003147 |
| Mailing Address | Practice Location Address |
|---|---|
| 633 Chiropractic Llc 308 N Gray St # B, Killeen, TX 76541-5245 Ph: (225) 522-1380 | 633 Chiropractic Llc 308 N Gray St # B, Killeen, TX 76541-5245 Ph: (225) 522-1380 |
Dr. Shawn Erwin Isdale, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1201 Winkler Ave, Killeen, TX 76542 Phone: 254-699-4004 Fax: 254-699-4056 | |
Dr. Scott Edward Isdale, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1201 Winkler Ave, Killeen, TX 76542 Phone: 254-699-4004 Fax: 254-699-4056 | |
Isdale Chiropractic Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 1201 Winkler Ave, Killeen, TX 76542 Phone: 254-699-4004 Fax: 254-699-4056 | |
Dr. Jessica Dell Bryant, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1201 Winkler Ave, Killeen, TX 76542 Phone: 254-699-4004 Fax: 254-699-4056 | |
Robin Lynn Cole, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3106 S W S Young Dr, Bldg D Suite 402, Killeen, TX 76542 Phone: 512-323-6900 Fax: 512-524-2251 | |
Dr. Billy Wallar, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 300 W Central Texas Expy, Killeen, TX 76541 Phone: 254-634-4010 | |
Dr. Ezequiel Gonzalez Jr., DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 900 W Central Texas Expy, Killeen, TX 76541 Phone: 254-634-4010 |