| |
419 N Avenue F, Denver City, TX 79323-2741 | |
(806) 752-0055 | |
(575) 739-2225 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 419 N Avenue F, Denver City, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558568956 | NPI | - | NPPES |
1235168147 | Other | NM | TYPE I NPI |
15730101 | Medicaid | TX | |
9244 | Other | TX | TX LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 9244 (Texas) | Primary |
Mailing Address | Practice Location Address |
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Po Box 1415, Lovington, NM 88260-1415 Ph: (806) 752-0055 | 419 N Avenue F, Denver City, TX 79323-2741 Ph: (806) 752-0055 |