Kyle Jordan Jolas, DC | |
1001 Campbell Rd, Houston, TX 77055-7407 | |
(713) 442-6900 | |
Not Available |
Full Name | Kyle Jordan Jolas |
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Gender | Male |
Speciality | Chiropractor |
Location | 1001 Campbell Rd, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528785201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 15434 (Texas) | Primary |
Provider Name | Kelsey-seybold Medical Group, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
Mailing Address | Practice Location Address |
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Kyle Jordan Jolas, DC 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Kyle Jordan Jolas, DC 1001 Campbell Rd, Houston, TX 77055-7407 Ph: (713) 442-6900 |
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