Lake Texoma Chiropractic is a
Chiropractor based in Pottsboro, Texas. Lake Texoma Chiropractic is licensed to practice in Pennsylvania (license number DC009315) and their current practice location is
81750 N State Hwy 289 Ste 102, Pottsboro, Texas. It can be reached at their office (for appointments etc.) via phone at
(903) 327-9166.
NPI number for Lake Texoma Chiropractic is 1700293453 and their current mailing address is 81750 N State Hwy 289 Ste 102, Pottsboro, Texas. Lake Texoma Chiropractic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1700293453.
Healthcare Provider's Profile
| Full Name | Lake Texoma Chiropractic |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 81750 N State Hwy 289 Ste 102, Pottsboro, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700293453
- Provider Enumeration Date: 07/15/2014
- Last Update Date: 01/10/2018
Medical Identifiers
Medical identifiers for Lake Texoma Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700293453 | NPI | - | NPPES |
| 001676219 | Other | PA | HIGHMARK |
| 3413536-01 | Medicaid | TX | |
| DE8220 | Other | PA | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC009315 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lake Texoma Chiropractic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lake Texoma Chiropractic
81750 N State Hwy 289 Ste 102,
Pottsboro, TX 75076-4966
Ph: (330) 482-9350 | Lake Texoma Chiropractic
81750 N State Hwy 289 Ste 102,
Pottsboro, TX 75076
Ph: (903) 327-9166 |
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