Mellgren Chiropractic Clinic | |
109 N Reagan St, West, TX 76691-1446 | |
(254) 826-3737 | |
(254) 826-3769 |
Full Name | Mellgren Chiropractic Clinic |
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Type | Facility |
Speciality | Chiropractor |
Location | 109 N Reagan St, West, 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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1154467934 | NPI | - | NPPES |
00L71L | Other | TX | BLUE CROSS BLUESHIELD OF TEXAS |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Michael Mellgren |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1922037837 PECOS PAC ID: 9830100510 Enrollment ID: I20060509000663 |
Mailing Address | Practice Location Address |
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Mellgren Chiropractic Clinic Po Box 475, West, TX 76691-0475 Ph: (254) 826-3737 | Mellgren Chiropractic Clinic 109 N Reagan St, West, TX 76691-1446 Ph: (254) 826-3737 |
Richard Elton Davis, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 109 N Reagan St, West, TX 76691 Phone: 254-826-3737 Fax: 254-826-3769 | |
Dr. Walter Jean Mellgren Jr., DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 109 N Reagan St, West, TX 76691 Phone: 254-826-3737 Fax: 254-826-3769 | |
Mellgren Chiropractic Clinic At West Chiropractor Medicare: Medicare Enrolled Practice Location: 109 N Reagan St, West, TX 76691 Phone: 806-290-5208 |