| |
1309 W 3rd St, Pecos, TX 79772-2826 | |
(432) 445-4878 | |
(432) 445-4835 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1309 W 3rd St, Pecos, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215126909 | NPI | - | NPPES |
176521601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 8354 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
1309 W 3rd St, Pecos, TX 79772-2826 Ph: (432) 445-4878 | 1309 W 3rd St, Pecos, TX 79772-2826 Ph: (432) 445-4878 |
Dr. Jay Bob Haney, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1309 W 3rd St, Pecos, TX 79772 Phone: 432-445-4878 Fax: 432-445-4835 |