Timonia Marizdelle Buchanan, DC | |
12155 Shadow Creek Pkwy Ste 115, Pearland, TX 77584-7289 | |
(832) 243-4353 | |
Not Available |
Full Name | Timonia Marizdelle Buchanan |
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Gender | Female |
Speciality | Chiropractor |
Location | 12155 Shadow Creek Pkwy Ste 115, Pearland, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396441564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 15226 (Texas) | Primary |
Provider Name | The Chiro Place Of Collierville Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609234657 PECOS PAC ID: 1951600428 Enrollment ID: O20160504002484 |
Mailing Address | Practice Location Address |
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Timonia Marizdelle Buchanan, DC 12325 Shadow Creek Pkwy Apt 16209, Pearland, TX 77584-7436 Ph: (561) 889-9304 | Timonia Marizdelle Buchanan, DC 12155 Shadow Creek Pkwy Ste 115, Pearland, TX 77584-7289 Ph: (832) 243-4353 |
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