Dr Jeremy Randall Brown, DC | |
2625 E Southlake Blvd Ste 180, Southlake, TX 76092-8042 | |
(800) 404-6050 | |
(866) 313-3397 |
Full Name | Dr Jeremy Randall Brown |
---|---|
Gender | Male |
Speciality | Chiropractor - Rehabilitation |
Location | 2625 E Southlake Blvd Ste 180, Southlake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588987739 | NPI | - | NPPES |
11408 | Other | TX | CHIROPRACTIC LICENSE |
11408 | Other | TX | CHIROPRACTOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | 11408 (Texas) | Primary |
Provider Name | Airrosti Rehab Centers, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497989479 PECOS PAC ID: 3678814498 Enrollment ID: O20190725000429 |
Mailing Address | Practice Location Address |
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Dr Jeremy Randall Brown, DC Po Box 700688, San Antonio, TX 78270-0688 Ph: (800) 404-6050 | Dr Jeremy Randall Brown, DC 2625 E Southlake Blvd Ste 180, Southlake, TX 76092-8042 Ph: (800) 404-6050 |
Dr. Kevin Stice, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 500 North Carroll Avenue, #100, Southlake, TX 76092 Phone: 817-488-6495 Fax: 817-488-6592 | |
Texan Frogs Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 502 N Carroll Ave Ste 130, Southlake, TX 76092 Phone: 972-638-0994 | |
Southlake Health P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 100 W Southlake Blvd, Suite # 410, Southlake, TX 76092 Phone: 817-310-6604 Fax: 817-310-6478 | |
Southlake Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 170 Players Cir Ste 100, Southlake, TX 76092 Phone: 817-488-8837 Fax: 817-488-8927 | |
Darnell Brown, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 321 W Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-488-4186 Fax: 817-488-7417 | |
Courtney Diane Prince, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2757 E Southlake Blvd Ste 110, Southlake, TX 76092 Phone: 682-688-5534 Fax: 682-688-5549 | |
Core Activated Rehab 2 Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1800 East Highway 114, Suite 101, Southlake, TX 76090 Phone: 985-173-1173 |