Casey Sanders, DC | |
4712 Boat Club Rd, Fort Worth, TX 76135-2002 | |
(817) 944-4409 | |
Not Available |
Full Name | Casey Sanders |
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Gender | Male |
Speciality | Chiropractor |
Location | 4712 Boat Club Rd, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326811324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 13397 (Texas) | Primary |
Provider Name | Sanders Chiropractic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336441625 PECOS PAC ID: 5890963045 Enrollment ID: O20110714000497 |
Mailing Address | Practice Location Address |
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Casey Sanders, DC 7942 Salmon Run Way, Fort Worth, TX 76137-5692 Ph: (817) 944-4409 | Casey Sanders, DC 4712 Boat Club Rd, Fort Worth, TX 76135-2002 Ph: (817) 944-4409 |
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