Elena Fajardo, DC | |
511 E John W Carpenter Fwy, Suite 507, Irving, TX 75062 | |
(972) 587-7696 | |
Not Available |
Full Name | Elena Fajardo |
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Gender | Female |
Speciality | Chiropractor |
Location | 511 E John W Carpenter Fwy, Irving, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407568280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 15372 (Texas) | Primary |
Provider Name | Zenith Chiropractic Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972010668 PECOS PAC ID: 2769713643 Enrollment ID: O20191007003095 |
Mailing Address | Practice Location Address |
---|---|
Elena Fajardo, DC 2001 Highway 360 Apt 2304, Euless, TX 76039-5315 Ph: (214) 435-2019 | Elena Fajardo, DC 511 E John W Carpenter Fwy, Suite 507, Irving, TX 75062 Ph: (972) 587-7696 |
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