Tristan Moore, DC | |
100 Willow Creek Pkwy Ste C, Palestine, TX 75801-4387 | |
(903) 729-5051 | |
Not Available |
Full Name | Tristan Moore |
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Gender | Male |
Speciality | Chiropractor |
Location | 100 Willow Creek Pkwy Ste C, Palestine, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548036163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 15761 (Texas) | Primary |
Provider Name | Zachary Zane Leslie Dc Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760505531 PECOS PAC ID: 5597861823 Enrollment ID: O20070503000291 |
Mailing Address | Practice Location Address |
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Tristan Moore, DC 100 Willow Creek Pkwy Ste C, Palestine, TX 75801-4387 Ph: (190) 394-8084 | Tristan Moore, DC 100 Willow Creek Pkwy Ste C, Palestine, TX 75801-4387 Ph: (903) 729-5051 |
Dr. Zachary Zane Leslie, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 320 W Palestine Ave, Palestine, TX 75801 Phone: 903-729-5051 Fax: 903-729-0316 | |
Sarah Carr, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 100 Willow Creek Pkwy Ste C, Palestine, TX 75801 Phone: 903-729-5051 | |
Kelsee Wade, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2114 State Highway 155, Palestine, TX 75803 Phone: 903-729-3772 Fax: 903-723-0920 | |
Jacqueline Dominguez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 100 Willow Creek Pkwy Ste C, Palestine, TX 75801 Phone: 903-729-5051 | |
Dr. Don Andrew Rice, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 801 N Mallard St, Palestine, TX 75801 Phone: 903-731-4446 Fax: 903-731-4770 | |
Dr. John H Dorsett, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1002 N Mallard, Palestine, TX 75801 Phone: 903-723-1500 Fax: 903-723-5331 |