Proactivebcs Llc | |
900 Harvey Rd, College Station, TX 77840-3523 | |
(979) 412-2089 | |
Not Available |
Full Name | Proactivebcs Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 900 Harvey Rd, College Station, 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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1558814004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jason Allen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1174987846 PECOS PAC ID: 4183922339 Enrollment ID: I20160421000437 |
Mailing Address | Practice Location Address |
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Proactivebcs Llc 900 Harvey Rd, College Station, TX 77840-3523 Ph: () - | Proactivebcs Llc 900 Harvey Rd, College Station, TX 77840-3523 Ph: (979) 412-2089 |
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