| Lifetime Family Health Center Pllc | |
|
2637 Ira E Woods Ave, Suite 300, Grapevine, TX 76051-9013 | |
| (817) 310-0301 | |
| (817) 423-6701 |
| Full Name | Lifetime Family Health Center Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2637 Ira E Woods Ave, Grapevine, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891136610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 11382 (Texas) | Primary |
| Provider Name | Jay M Harrison |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891967873 PECOS PAC ID: 2466513700 Enrollment ID: I20100907000121 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Family Health Center Pllc 2637 Ira E Woods Ave, Suite 300, Grapevine, TX 76051-9013 Ph: (817) 310-0301 | Lifetime Family Health Center Pllc 2637 Ira E Woods Ave, Suite 300, Grapevine, TX 76051-9013 Ph: (817) 310-0301 |
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