| |
460 S. 14th Street, Midlothian, TX 76065 | |
(972) 723-1155 | |
(972) 723-1111 |
Full Name | |
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Type | Facility |
Speciality | General Practice |
Location | 460 S. 14th Street, Midlothian, 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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1841991346 | NPI | - | NPPES |
Provider Name | Brad W Collins |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1871549154 PECOS PAC ID: 1850345927 Enrollment ID: I20050310001042 |
Provider Name | Lauren Elizabeth Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215426168 PECOS PAC ID: 3779837380 Enrollment ID: I20181119001131 |
Mailing Address | Practice Location Address |
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460 S. 14th Street, Midlothian, TX 76065 Ph: (972) 723-1155 | 460 S. 14th Street, Midlothian, TX 76065 Ph: (972) 723-1155 |