Kaleo Chiropractic Clinic Pllc | |
408 S Broadway Ave, Tyler, TX 75702-8101 | |
(903) 595-5190 | |
Not Available |
Full Name | Kaleo Chiropractic Clinic Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 408 S Broadway Ave, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1053614271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 11385 (Texas) | Primary |
Provider Name | Joe David Glenn |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477878841 PECOS PAC ID: 3678753126 Enrollment ID: I20110215001067 |
Mailing Address | Practice Location Address |
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Kaleo Chiropractic Clinic Pllc 408 S Broadway Ave, Tyler, TX 75702-8101 Ph: (903) 595-5190 | Kaleo Chiropractic Clinic Pllc 408 S Broadway Ave, Tyler, TX 75702-8101 Ph: (903) 595-5190 |
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