| Dr Justin Cordle, DC | |
|
2926 Sherwood Way Ste 100, San Angelo, TX 76901-3511 | |
| (325) 208-4842 | |
| Not Available |
| Full Name | Dr Justin Cordle |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 2926 Sherwood Way Ste 100, San Angelo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134793656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 14755 (Texas) | Primary |
| Provider Name | C1 Legacy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164799227 PECOS PAC ID: 6002078318 Enrollment ID: O20120503000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Cordle, DC 102 S Meyer St, Kyle, TX 78640-5686 Ph: () - | Dr Justin Cordle, DC 2926 Sherwood Way Ste 100, San Angelo, TX 76901-3511 Ph: (325) 208-4842 |
Drew G. Wallace, Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 1801 W Avenue N, San Angelo, TX 76904 Phone: 325-949-7878 Fax: 325-944-7703 | |
Brian Jay Anderson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3950 Sunset Dr, San Angelo, TX 76904 Phone: 325-949-1600 Fax: 325-944-3754 | |
Dr. Kendra Ann Chowning, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3950 Sunset Dr, San Angelo, TX 76904 Phone: 325-949-1600 | |
Dr. Kyle J Lawson, DC, MS, CFMP Chiropractor Medicare: Medicare Enrolled Practice Location: 2926 Sherwood Way Ste 100, San Angelo, TX 76901 Phone: 325-208-4842 | |
Monty C. Wright, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2102 Pecos St Ste 8, San Angelo, TX 76901 Phone: 325-655-1070 Fax: 325-610-6515 | |
C1 Legacy Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 225 S David St, San Angelo, TX 76903 Phone: 325-655-3666 |