Wccw Crockett, Llc | |
2200 N 4th St, Crockett, TX 75835-5337 | |
(936) 546-0070 | |
Not Available |
Full Name | Wccw Crockett, Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 2200 N 4th St, Crockett, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881256170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Wccw Crockett, Llc 21721 Pagosa Ranch Rd, Bullard, TX 75757-4109 Ph: (903) 948-0845 | Wccw Crockett, Llc 2200 N 4th St, Crockett, TX 75835-5337 Ph: (936) 546-0070 |
T Wayne Mask, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 305 S 5th St, Crockett, TX 75835 Phone: 936-544-2225 Fax: 936-544-2259 | |
Dr. Bradley Val White, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 403 S 5th St, Crockett, TX 75835 Phone: 936-545-9355 |