Dr Chelsea Kay Gillam, DC | |
9668 Bimms Dr, Conroe, TX 77385-7738 | |
(318) 564-7204 | |
Not Available |
Full Name | Dr Chelsea Kay Gillam |
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Gender | Female |
Speciality | Chiropractor |
Location | 9668 Bimms Dr, Conroe, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588148266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 13674 (Texas) | Primary |
Provider Name | Wunnenberg Enterprises Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952950172 PECOS PAC ID: 6709210438 Enrollment ID: O20200106000168 |
Mailing Address | Practice Location Address |
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Dr Chelsea Kay Gillam, DC 9668 Bimms Dr, Conroe, TX 77385-5500 Ph: (318) 564-7204 | Dr Chelsea Kay Gillam, DC 9668 Bimms Dr, Conroe, TX 77385-7738 Ph: (318) 564-7204 |
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