Gateway Chiropractic Bay Colony, Pllc | |
2945 Gulf Fwy S Ste F, League City, TX 77573-6771 | |
(281) 337-7000 | |
(281) 337-7022 |
Full Name | Gateway Chiropractic Bay Colony, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 2945 Gulf Fwy S Ste F, League City, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770751927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 9381 (Texas) | Primary |
Provider Name | Maxie Vige |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1043222904 PECOS PAC ID: 5698937761 Enrollment ID: I20120507000662 |
Provider Name | Nicole Geer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790019487 PECOS PAC ID: 5698098176 Enrollment ID: I20150108002263 |
Mailing Address | Practice Location Address |
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Gateway Chiropractic Bay Colony, Pllc 325 Fm 517 Rd E, Dickinson, TX 77539-8630 Ph: (281) 337-7000 | Gateway Chiropractic Bay Colony, Pllc 2945 Gulf Fwy S Ste F, League City, TX 77573-6771 Ph: (281) 337-7000 |
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