Chiropractx, Pllc | |
12011 Bella Italia Dr Ste A, Fort Worth, TX 76126-6134 | |
(817) 249-7333 | |
Not Available |
Full Name | Chiropractx, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 12011 Bella Italia Dr Ste A, Fort Worth, 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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1689928178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 11910 (Texas) | Primary |
Provider Name | Taylor K Koepke |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1154693299 PECOS PAC ID: 7113162454 Enrollment ID: I20130314000369 |
Mailing Address | Practice Location Address |
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Chiropractx, Pllc 12011 Bella Italia Dr Ste A, Fort Worth, TX 76126-6134 Ph: (817) 249-7333 | Chiropractx, Pllc 12011 Bella Italia Dr Ste A, Fort Worth, TX 76126-6134 Ph: (817) 249-7333 |
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