Jennifer Guadalupe Gonzalez, | |
2840 Keller Springs Rd Ste 301, Carrollton, TX 75006-4849 | |
(972) 418-5150 | |
(972) 416-6827 |
Full Name | Jennifer Guadalupe Gonzalez |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 2840 Keller Springs Rd Ste 301, Carrollton, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477315612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 15897 (Texas) | Primary |
Provider Name | Cfc Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811140544 PECOS PAC ID: 2365607033 Enrollment ID: O20120702000149 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Guadalupe Gonzalez, 2840 Keller Springs Rd Ste 301, Carrollton, TX 75006-4849 Ph: (972) 418-5150 | Jennifer Guadalupe Gonzalez, 2840 Keller Springs Rd Ste 301, Carrollton, TX 75006-4849 Ph: (972) 418-5150 |
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