| |
3467 Knickerbocker Rd, Suite B, San Angelo, TX 76904-6896 | |
(325) 223-9355 | |
(325) 223-9353 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 3467 Knickerbocker Rd, San Angelo, 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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1841392966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 9576 (Texas) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | 5685330001 (Texas) | Secondary |
Provider Name | Timothy S Pittman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1417063827 PECOS PAC ID: 2567469596 Enrollment ID: I20120620000570 |
Mailing Address | Practice Location Address |
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3467 Knickerbocker Rd, Suite B, San Angelo, TX 76904-6896 Ph: (325) 223-9355 | 3467 Knickerbocker Rd, Suite B, San Angelo, TX 76904-6896 Ph: (325) 223-9355 |
Brian Jay Anderson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3950 Sunset Dr, San Angelo, TX 76904 Phone: 325-949-1600 Fax: 325-944-3754 | |
Dr. Kendra Ann Chowning, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3950 Sunset Dr, San Angelo, TX 76904 Phone: 325-949-1600 | |
Dr. Kyle J Lawson, DC, MS, CFMP Chiropractor Medicare: Medicare Enrolled Practice Location: 2926 Sherwood Way Ste 100, San Angelo, TX 76901 Phone: 325-208-4842 | |
Monty C. Wright, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 302 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-655-1070 Fax: 325-655-1036 | |
Dr. Justin Cordle, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2926 Sherwood Way Ste 100, San Angelo, TX 76901 Phone: 325-208-4842 | |