Bookout Enterprises, Inc. | |
703 W 12th St, Texarkana, TX 75501-4352 | |
(903) 792-0941 | |
Not Available |
Full Name | Bookout Enterprises, Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 703 W 12th St, Texarkana, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558540468 | NPI | - | NPPES |
00573T | Other | TX | GROUP |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | DC2700 (Texas) | Primary |
Provider Name | Cris R Bookout |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932143252 PECOS PAC ID: 1557599495 Enrollment ID: I20140122001182 |
Mailing Address | Practice Location Address |
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Bookout Enterprises, Inc. 703 W 12th St, Texarkana, TX 75501-4352 Ph: (903) 792-0941 | Bookout Enterprises, Inc. 703 W 12th St, Texarkana, TX 75501-4352 Ph: (903) 792-0941 |
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