Geauxchiro Of Gonzales | |
208 E Cornerview St, Gonzales, LA 70737-3150 | |
(225) 644-8671 | |
Not Available |
Full Name | Geauxchiro Of Gonzales |
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Type | Facility |
Speciality | Chiropractor |
Location | 208 E Cornerview St, Gonzales, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770298374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Thomas Paul Gray |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1770200313 PECOS PAC ID: 2668826025 Enrollment ID: I20231004000275 |
Mailing Address | Practice Location Address |
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Geauxchiro Of Gonzales 208 E Cornerview St, Gonzales, LA 70737-3150 Ph: (225) 644-8671 | Geauxchiro Of Gonzales 208 E Cornerview St, Gonzales, LA 70737-3150 Ph: (225) 644-8671 |
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