Nicole M Minatrea, DC | |
5320 Boat Club Rd, Fort Worth, TX 76135-1728 | |
(682) 710-3126 | |
(817) 887-2511 |
Full Name | Nicole M Minatrea |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 13 Years |
Location | 5320 Boat Club Rd, Fort Worth, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700140787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 12075 (Texas) | Primary |
Provider Name | Dr Nicole Chiropractic And Rehab |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518667658 PECOS PAC ID: 6204291388 Enrollment ID: O20230424003151 |
Mailing Address | Practice Location Address |
---|---|
Nicole M Minatrea, DC 105 W Reno Rd, Azle, TX 76020-6001 Ph: (713) 459-8180 | Nicole M Minatrea, DC 5320 Boat Club Rd, Fort Worth, TX 76135-1728 Ph: (682) 710-3126 |
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