| Hometown Chiropractic, Pllc | |
|
2200 W Ennis Ave, Suite A, Ennis, TX 75119-8054 | |
| (972) 875-8600 | |
| (972) 875-8481 |
| Full Name | Hometown Chiropractic, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2200 W Ennis Ave, Ennis, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356678718 | NPI | - | NPPES |
| 608125 | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
| 186463901 | Medicaid | TX | |
| POO389949 | Other | TX | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 9980 (Texas) | Primary |
| Provider Name | Natasha Mazaheri |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467626952 PECOS PAC ID: 8527081082 Enrollment ID: I20060110001157 |
| Provider Name | Jesus Marcial |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407857915 PECOS PAC ID: 3072529320 Enrollment ID: I20060224000109 |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Chiropractic, Pllc 2200 W Ennis Ave, Suite A, Ennis, TX 75119-8054 Ph: (972) 875-8676 | Hometown Chiropractic, Pllc 2200 W Ennis Ave, Suite A, Ennis, TX 75119-8054 Ph: (972) 875-8600 |
Ennis Chiropractic And Welness Center, P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 109 Nw Main St, Ennis, TX 75119 Phone: 972-875-9377 Fax: 972-875-4325 | |
Colin M Runyan, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 109 Nw Main St, Ennis, TX 75119 Phone: 972-875-9377 | |
Dr. William C. Davis, CHIROPRACTOR Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 109 Nw Main St, Ennis, TX 75119 Phone: 972-875-9377 | |
Velda Herrera, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 507 S Clay St, Ennis, TX 75119 Phone: 214-943-9431 | |
Dr. Jesus Marcial, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2200 W Ennis Ave, Suite A, Ennis, TX 75119 Phone: 972-875-8676 Fax: 972-875-8481 | |
Dr. Natasha Mazaheri, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 112 S Mckinney St, Ennis, TX 75119 Phone: 972-875-8600 Fax: 972-875-8481 |