Lake Kiowa Functional Chiropractic | |
100 Kiowa Dr W, Suite 301, Lake Kiowa, TX 76240-9584 | |
(940) 668-8755 | |
(940) 222-6742 |
Full Name | Lake Kiowa Functional Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 100 Kiowa Dr W, Lake Kiowa, 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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1568729887 | NPI | - | NPPES |
263573 | Other | TX | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 12197 (Texas) | Primary |
Provider Name | Jami A West |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1962773796 PECOS PAC ID: 6800058405 Enrollment ID: I20130201000040 |
Mailing Address | Practice Location Address |
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Lake Kiowa Functional Chiropractic 100 Kiowa Dr W, Suite 301, Lake Kiowa, TX 76240-9584 Ph: (940) 668-8755 | Lake Kiowa Functional Chiropractic 100 Kiowa Dr W, Suite 301, Lake Kiowa, TX 76240-9584 Ph: (940) 668-8755 |
Dr. Sarah Friedrich, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 100 Kiowa Dr W, Lake Kiowa, TX 76240 Phone: 940-668-8755 | |
Dr. Jami West, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 100 Kiowa Dr W, Suite 301, Lake Kiowa, TX 76240 Phone: 940-668-8755 Fax: 940-222-6742 |