Dr Allan George Preddy, DC | |
921 Shiloh Rd, Ste A-200, Tyler, TX 75703-1431 | |
(903) 581-2776 | |
(903) 581-4035 |
Full Name | Dr Allan George Preddy |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 921 Shiloh Rd, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598781882 | NPI | - | NPPES |
8K9990 | Other | TX | BLUECROSS PROVIDER NUMBER |
C06050859 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6103 (Texas) | Primary |
Provider Name | Preddy Chiropractic Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740307974 PECOS PAC ID: 1254518442 Enrollment ID: O20110616000228 |
Mailing Address | Practice Location Address |
---|---|
Dr Allan George Preddy, DC 921 Shiloh Rd, Ste A-200, Tyler, TX 75703-1431 Ph: (903) 581-2776 | Dr Allan George Preddy, DC 921 Shiloh Rd, Ste A-200, Tyler, TX 75703-1431 Ph: (903) 581-2776 |
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