Mellgren Chiropractic Clinic At West | |
109 N Reagan St, West, TX 76691-1446 | |
(806) 290-5208 | |
Not Available |
Full Name | Mellgren Chiropractic Clinic At West |
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Type | Facility |
Speciality | Chiropractor |
Location | 109 N Reagan St, West, 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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1972236057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Richard Elton Davis |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1215553318 PECOS PAC ID: 9739561697 Enrollment ID: I20220809002696 |
Mailing Address | Practice Location Address |
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Mellgren Chiropractic Clinic At West Po Box 338, West, TX 76691-0338 Ph: (254) 826-3737 | Mellgren Chiropractic Clinic At West 109 N Reagan St, West, TX 76691-1446 Ph: (806) 290-5208 |
Mellgren Chiropractic Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 109 N Reagan St, West, TX 76691 Phone: 254-826-3737 Fax: 254-826-3769 | |
Richard Elton Davis, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 109 N Reagan St, West, TX 76691 Phone: 254-826-3737 Fax: 254-826-3769 | |
Dr. Walter Jean Mellgren Jr., DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 109 N Reagan St, West, TX 76691 Phone: 254-826-3737 Fax: 254-826-3769 |