| Optimal Spine Wellness Center | |
|
7713 San Jacinto Pl, Suite 100, Plano, TX 75024-3215 | |
| (913) 439-9645 | |
| Not Available |
| Full Name | Optimal Spine Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7713 San Jacinto Pl, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093118267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| Provider Name | Kyle Wesley Jensen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497939516 PECOS PAC ID: 9436232204 Enrollment ID: I20150415001538 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Spine Wellness Center 7713 San Jacinto Pl, Suite 100, Plano, TX 75024-3215 Ph: (913) 439-9645 | Optimal Spine Wellness Center 7713 San Jacinto Pl, Suite 100, Plano, TX 75024-3215 Ph: (913) 439-9645 |
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