Salance Chiropractic Clinic | |
4255 Bryant Irvin Rd Ste 108, Fort Worth, TX 76109-4224 | |
(817) 731-4848 | |
(817) 731-4858 |
Full Name | Salance Chiropractic Clinic |
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Type | Facility |
Speciality | Chiropractor |
Location | 4255 Bryant Irvin Rd Ste 108, Fort Worth, 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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1437483831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 10934 (Texas) | Primary |
Provider Name | Athena Marie Payne |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1619291697 PECOS PAC ID: 9638304025 Enrollment ID: I20131018001675 |
Mailing Address | Practice Location Address |
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Salance Chiropractic Clinic 4255 Bryant Irvin Rd Ste 108, Fort Worth, TX 76109-4224 Ph: (817) 731-4848 | Salance Chiropractic Clinic 4255 Bryant Irvin Rd Ste 108, Fort Worth, TX 76109-4224 Ph: (817) 731-4848 |
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