Magnolia Chiropractic, P.a. | |
139 S Main St, Irving, TX 75060-2926 | |
(972) 554-1511 | |
(972) 554-1513 |
Full Name | Magnolia Chiropractic, P.a. |
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Type | Facility |
Speciality | Chiropractor |
Location | 139 S Main St, Irving, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104837756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Nikisha T Mcdaniel |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780629246 PECOS PAC ID: 5496794877 Enrollment ID: I20050426000394 |
Mailing Address | Practice Location Address |
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Magnolia Chiropractic, P.a. 139 S Main St, Irving, TX 75060-2926 Ph: (972) 554-1511 | Magnolia Chiropractic, P.a. 139 S Main St, Irving, TX 75060-2926 Ph: (972) 554-1511 |
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