| Testimonial Spine & Fitness, Llc | |
|
6363 Richmond Ave Ste 260, Houston, TX 77057-5950 | |
| (832) 580-9743 | |
| (832) 201-0797 |
| Full Name | Testimonial Spine & Fitness, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6363 Richmond Ave Ste 260, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699147090 | NPI | - | NPPES |
| 00Y7Y9 | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 13068 (Texas) | Primary |
| Provider Name | Anthony Julio Branker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699149302 PECOS PAC ID: 7810332954 Enrollment ID: I20240402001001 |
| Mailing Address | Practice Location Address |
|---|---|
| Testimonial Spine & Fitness, Llc 6122 Gladewell Dr, Houston, TX 77072-1502 Ph: (832) 580-9743 | Testimonial Spine & Fitness, Llc 6363 Richmond Ave Ste 260, Houston, TX 77057-5950 Ph: (832) 580-9743 |
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