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1933 Farm Road 115, Suite B, Mt Vernon, TX 75457-7434 | |
(903) 588-2237 | |
(903) 588-2239 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 1933 Farm Road 115, Mt Vernon, 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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1477820967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (Texas) | Primary |
Provider Name | Jeffrey Wayne Mannis |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942504410 PECOS PAC ID: 9234312174 Enrollment ID: I20110330000453 |
Mailing Address | Practice Location Address |
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1933 Farm Road 115, Suite B, Mt Vernon, TX 75457-7434 Ph: (903) 588-2237 | 1933 Farm Road 115, Suite B, Mt Vernon, TX 75457-7434 Ph: (903) 588-2237 |
Dr. Jeffrey Wayne Mannis, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1933 Farm Road 115, Siute B, Mt Vernon, TX 75457 Phone: 903-588-2237 Fax: 903-588-2239 |