| Texas Gonstead Family Chiropractic Inc | |
|
230 N Denton Tap Rd Ste 112, Coppell, TX 75019 | |
| (972) 906-9986 | |
| (972) 906-9958 |
| Full Name | Texas Gonstead Family Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 230 N Denton Tap Rd Ste 112, Coppell, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588187942 | NPI | - | NPPES |
| 1467543926 | Other | IND NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 11133 (Texas) | Primary |
| Provider Name | Junesuk Lee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467543926 PECOS PAC ID: 6103840228 Enrollment ID: I20091211000675 |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Gonstead Family Chiropractic Inc 230 N Denton Tap Rd Ste 112, Coppell, TX 75019-2135 Ph: () - | Texas Gonstead Family Chiropractic Inc 230 N Denton Tap Rd Ste 112, Coppell, TX 75019 Ph: (972) 906-9986 |
Dr. Deeborr Mbissine Gibune, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 255 S Denton Tap Rd, Suite 200, Coppell, TX 75019 Phone: 972-556-9595 | |
Ms. Cara Lynn Hall, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 215 S Denton Tap Rd Ste 285, Coppell, TX 75019 Phone: 972-304-3900 Fax: 972-304-2066 | |
Dr. Matthew Joshua Talley, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 215 S Denton Tap Rd Ste 285, Coppell, TX 75019 Phone: 972-304-3900 Fax: 972-330-4768 | |
Dr. Ronald Howard Carpenter Ii, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 110 W Sandy Lake Rd Ste 128, Coppell, TX 75019 Phone: 972-462-8282 Fax: 972-462-8282 | |
Dr. Stephen Ward, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 546 E Sandy Lake Rd, Suite 110, Coppell, TX 75019 Phone: 972-393-8067 | |
Dr. Jesus Nevarez, Chiropractor Medicare: Medicare Enrolled Practice Location: 120 S Denton Tap Rd Ste 410, Coppell, TX 75019 Phone: 469-393-0504 | |
Dr. Michael James Bologna, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 546 E Sandy Lake Rd, Suite 110, Coppell, TX 75019 Phone: 972-393-8067 |