Richard Elton Davis, DC | |
109 N Reagan St, West, TX 76691-1446 | |
(254) 826-3737 | |
(254) 826-3769 |
Full Name | Richard Elton Davis |
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Gender | Male |
Speciality | Chiropractor |
Location | 109 N Reagan St, West, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215553318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 14107 (Texas) | Primary |
Provider Name | Richard E Davis, Dc, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972236057 PECOS PAC ID: 8820470784 Enrollment ID: O20220809002458 |
Mailing Address | Practice Location Address |
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Richard Elton Davis, DC Po Box 338, West, TX 76691-0338 Ph: (254) 826-3737 | Richard Elton Davis, DC 109 N Reagan St, West, TX 76691-1446 Ph: (254) 826-3737 |
Mellgren Chiropractic Clinic 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 | |
Mellgren Chiropractic Clinic At West Chiropractor Medicare: Medicare Enrolled Practice Location: 109 N Reagan St, West, TX 76691 Phone: 806-290-5208 |