| Preddy Chiropractic Pc | |
|
921 Shiloh Rd, Ste A-200, Tyler, TX 75703-1431 | |
| (903) 581-2776 | |
| (903) 581-4035 |
| Full Name | Preddy Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 921 Shiloh Rd, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740307974 | NPI | - | NPPES |
| C06050859 | Medicaid | TX | |
| 8K9990 | Other | TX | BLUECROSSBLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6103 (Texas) | Primary |
| Provider Name | Allan G Preddy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598781882 PECOS PAC ID: 3971780164 Enrollment ID: I20110616000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Preddy Chiropractic Pc 921 Shiloh Rd, Ste A-200, Tyler, TX 75703-1431 Ph: (903) 581-2776 | Preddy Chiropractic Pc 921 Shiloh Rd, Ste A-200, Tyler, TX 75703-1431 Ph: (903) 581-2776 |
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