| |
2220 Coit Rd Ste 510, Plano, TX 75075-3783 | |
(972) 769-0945 | |
(972) 398-3299 |
Full Name | |
---|---|
Type | Facility |
Speciality | Mechanotherapist |
Location | 2220 Coit Rd Ste 510, Plano, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689849978 | NPI | - | NPPES |
1821015736 | Other | TX | NPI |
1073504387 | Other | TX | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 7902 (Texas) | Secondary |
172M00000X | Mechanotherapist | MT025368 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
2220 Coit Rd Ste 510, Plano, TX 75075-3783 Ph: (972) 769-0945 | 2220 Coit Rd Ste 510, Plano, TX 75075-3783 Ph: (972) 769-0945 |