Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 910 Hidalgo, Zapata, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083089411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 12650 (Texas) | Primary |
Mailing Address | Practice Location Address |
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Po Box 15268, Zapata, TX 78076-5268 Ph: (956) 750-0178 | 910 Hidalgo, Zapata, TX 78076 Ph: (956) 750-0178 |