| East Texas Chiropractic Of Jasper, Pa | |
|
799 W. Gibson, Ste 700, Jasper, TX 75948 | |
| (409) 384-7776 | |
| (409) 384-7779 |
| Full Name | East Texas Chiropractic Of Jasper, Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 799 W. Gibson, Jasper, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699893230 | NPI | - | NPPES |
| DC6063 | Other | TX | STATE LICENSE NUMBER |
| 0884470-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC6063 (Texas) | Secondary |
| 111N00000X | Chiropractor | 11267 (Texas) | Primary |
| 111N00000X | Chiropractor | 11268 (Texas) | Secondary |
| Provider Name | Bric L Langford |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124351820 PECOS PAC ID: 5092858142 Enrollment ID: I20100211000415 |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Chiropractic Of Jasper, Pa 799 W. Gibson, Ste 700, Jasper, TX 75948 Ph: (409) 384-7776 | East Texas Chiropractic Of Jasper, Pa 799 W. Gibson, Ste 700, Jasper, TX 75948 Ph: (409) 384-7776 |
Dr. Bric Lee Langford, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 799 W Gibson St Ste 700, Jasper, TX 75951 Phone: 409-384-7776 | |
Dr. Summer Lee Langford, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 799 W Gibson St, 700, Jasper, TX 75951 Phone: 409-384-7776 Fax: 409-384-7779 | |
William P Williamson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 145 Curtis St, Jasper, TX 75951 Phone: 409-384-5763 Fax: 409-384-1590 | |
Wheeler Chiropractic & Sports Injury Chiropractor Medicare: Medicare Enrolled Practice Location: 145 Curtis St, Jasper, TX 75951 Phone: 409-384-5763 Fax: 409-384-1590 | |
Wheeler Chiropractic & Sports Injury Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 145 Curtis St, Jasper, TX 75951 Phone: 409-384-5763 Fax: 409-384-1590 | |
James Mary Cooper, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 315 W Houston St, Jasper, TX 75951 Phone: 409-384-3430 Fax: 409-384-0571 |