Gateway Chiropractic - South Shore Pllc | |
380a Green Wing St, Webster, TX 77598-2331 | |
(281) 334-9300 | |
(281) 334-9301 |
Full Name | Gateway Chiropractic - South Shore Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 380a Green Wing St, Webster, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1629260179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 9354 (Texas) | Primary |
Provider Name | John W Fulkman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790755973 PECOS PAC ID: 5698834158 Enrollment ID: I20081112000812 |
Provider Name | Kai R Borgstrom |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821220435 PECOS PAC ID: 2961625280 Enrollment ID: I20140514000259 |
Mailing Address | Practice Location Address |
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Gateway Chiropractic - South Shore Pllc 380a Green Wing St, Webster, TX 77598-2331 Ph: (281) 334-9300 | Gateway Chiropractic - South Shore Pllc 380a Green Wing St, Webster, TX 77598-2331 Ph: (281) 334-9300 |
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