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1697 Gordon Rd, Whitewright, TX 75491-7159 | |
(214) 218-7956 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 1697 Gordon Rd, Whitewright, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1881279511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Willie Ow |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912285602 PECOS PAC ID: 8820427016 Enrollment ID: I20200409002384 |
Mailing Address | Practice Location Address |
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1697 Gordon Rd, Whitewright, TX 75491-7159 Ph: (214) 218-7956 | 1697 Gordon Rd, Whitewright, TX 75491-7159 Ph: (214) 218-7956 |