| Prime Life Chiropractic | |
|
2504 Avenue K, Ste 500, Plano, TX 75074-5340 | |
| (972) 424-2225 | |
| (972) 424-7709 |
| Full Name | Prime Life Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 2504 Avenue K, 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 |
|---|---|---|---|
| 1952597866 | NPI | - | NPPES |
| 0084QG | Other | TX | BLUE CROSS |
| 8R9800 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | DC9953 (Texas) | Primary |
| Provider Name | Garland G Fulcher |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366558371 PECOS PAC ID: 5799710695 Enrollment ID: I20050929000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Life Chiropractic 2504 Avenue K, Ste 500, Plano, TX 75074-5340 Ph: (972) 424-2225 | Prime Life Chiropractic 2504 Avenue K, Ste 500, Plano, TX 75074-5340 Ph: (972) 424-2225 |
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