Jerrylee Otimeye Ejuwa, DC | |
1025 S Main St Ste 305, Grapevine, TX 76051-7506 | |
(817) 251-0550 | |
(817) 251-0599 |
Full Name | Jerrylee Otimeye Ejuwa |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 13 Years |
Location | 1025 S Main St Ste 305, Grapevine, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295007326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 11959 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Align Health Pllc | 6103100250 | 2 |
Provider Name | Align Health Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316489156 PECOS PAC ID: 6103100250 Enrollment ID: O20170309000145 |
Mailing Address | Practice Location Address |
---|---|
Jerrylee Otimeye Ejuwa, DC 1025 S Main St Ste 305, Grapevine, TX 76051-7506 Ph: (817) 251-0550 | Jerrylee Otimeye Ejuwa, DC 1025 S Main St Ste 305, Grapevine, TX 76051-7506 Ph: (817) 251-0550 |
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