Elias Madrid, DC | |
2901 Wilcrest Dr Ste 140, Houston, TX 77042-3393 | |
(832) 662-2100 | |
Not Available |
Full Name | Elias Madrid |
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Gender | Male |
Speciality | Chiropractor |
Location | 2901 Wilcrest Dr Ste 140, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316682842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 15163 (Texas) | Primary |
Provider Name | Elite Performance Chiropractic & Wellness |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295144939 PECOS PAC ID: 8628394558 Enrollment ID: O20150513000754 |
Mailing Address | Practice Location Address |
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Elias Madrid, DC 611 Dairy Ashford Rd Apt 239, Houston, TX 77079-3912 Ph: () - | Elias Madrid, DC 2901 Wilcrest Dr Ste 140, Houston, TX 77042-3393 Ph: (832) 662-2100 |
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