| Log Cabin 5 Llc | |
|
7701 Stacy Rd Ste 800, Mckinney, TX 75070-1258 | |
| (760) 695-2878 | |
| Not Available |
| Full Name | Log Cabin 5 Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7701 Stacy Rd Ste 800, Mckinney, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043091242 | NPI | - | NPPES |
| 1114658762 | Other | TX | CHIROPRACTOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Roman Christopher Rogers |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114658762 PECOS PAC ID: 7911362611 Enrollment ID: I20230503000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Log Cabin 5 Llc 7701 Stacy Rd Ste 800, Mckinney, TX 75070-1258 Ph: () - | Log Cabin 5 Llc 7701 Stacy Rd Ste 800, Mckinney, TX 75070-1258 Ph: (760) 695-2878 |
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