Jenna Allison Carter, DC | |
621 N Main St Ste 102, Grapevine, TX 76051-9214 | |
(214) 997-1266 | |
Not Available |
Full Name | Jenna Allison Carter |
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Gender | Female |
Speciality | Chiropractor |
Location | 621 N Main St Ste 102, Grapevine, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083336754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 15313 (Texas) | Primary |
Provider Name | Chiro Co Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871270827 PECOS PAC ID: 4082074349 Enrollment ID: O20230718002333 |
Mailing Address | Practice Location Address |
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Jenna Allison Carter, DC 621 N Main St Ste 102, Grapevine, TX 76051-9214 Ph: (214) 997-1266 | Jenna Allison Carter, DC 621 N Main St Ste 102, Grapevine, TX 76051-9214 Ph: (214) 997-1266 |
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