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4525 Heritage Trace Pkwy, Suite 101, Fort Worth, TX 76244-8908 | |
| (817) 431-5100 | |
| (817) 887-3008 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4525 Heritage Trace Pkwy, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023468485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 12301 (Texas) | Primary |
| Provider Name | Jesse B Jacobs |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114356466 PECOS PAC ID: 6002130564 Enrollment ID: I20150112000821 |
| Provider Name | Jesus Nevarez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154913820 PECOS PAC ID: 0042619595 Enrollment ID: I20210603000781 |
| Provider Name | Roman Christopher Rogers |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114658762 PECOS PAC ID: 7911362611 Enrollment ID: I20230503000050 |
| Mailing Address | Practice Location Address |
|---|---|
4525 Heritage Trace Pkwy, Suite 101, Fort Worth, TX 76244-8908 Ph: (817) 431-5100 | 4525 Heritage Trace Pkwy, Suite 101, Fort Worth, TX 76244-8908 Ph: (817) 431-5100 |
Mr. Jason Meyer, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 903 Summit Ave, Fort Worth, TX 76102 Phone: 817-877-5353 Fax: 817-877-5357 | |
Dr. Jack L Mikeworth, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2200 Evans Ave, Fort Worth, TX 76104 Phone: 817-926-4693 Fax: 817-920-9625 | |
Dr. Rodger Wade Hampton, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 9405 Crowley Rd, Fort Worth, TX 76134 Phone: 817-293-5355 | |
Dr. Aaron Lee Wall, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3250 Hulen St, Suite 140, Fort Worth, TX 76107 Phone: 817-773-5953 | |
Dr. Kenneth Wayne Parker, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12453 Timberland Blvd, Suite 105, Fort Worth, TX 76244 Phone: 817-431-4300 | |
Seth Little Dc Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3409 N Tarrant Pkwy Ste 113, Fort Worth, TX 76177 Phone: 832-326-9255 |