Dr Justin M Smith, DC | |
945 S Baxter Ave, Tyler, TX 75701-2210 | |
(903) 595-2664 | |
(903) 592-8461 |
Full Name | Dr Justin M Smith |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 22 Years |
Location | 945 S Baxter Ave, Tyler, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932100500 | NPI | - | NPPES |
160985101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC 9333 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tyler Chiropractic, Inc | 7416968375 | 2 |
Provider Name | Tyler Chiropractic, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295775096 PECOS PAC ID: 7416968375 Enrollment ID: O20060508000389 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin M Smith, DC 945 S Baxter Ave, Tyler, TX 75701-2210 Ph: (903) 595-2664 | Dr Justin M Smith, DC 945 S Baxter Ave, Tyler, TX 75701-2210 Ph: (903) 595-2664 |
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