Zachariah Fred Prather, DC | |
8050 E Highway 191 Frontage Rd, Suite 202, Odessa, TX 79765 | |
(800) 404-6050 | |
(866) 313-3397 |
Full Name | Zachariah Fred Prather |
---|---|
Gender | Male |
Speciality | Chiropractor - Rehabilitation |
Location | 8050 E Highway 191 Frontage Rd, Odessa, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003594797 | NPI | - | NPPES |
15663 | Other | TX | CHIROPRACTIC LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 15663 (Texas) | Secondary |
111NR0400X | Chiropractor - Rehabilitation | 15663 (Texas) | Primary |
Provider Name | Airrosti Rehab Centers, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497989479 PECOS PAC ID: 3678814498 Enrollment ID: O20190725000429 |
Mailing Address | Practice Location Address |
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Zachariah Fred Prather, DC Po Box 700688, San Antonio, TX 78270-0688 Ph: (210) 318-3007 | Zachariah Fred Prather, DC 8050 E Highway 191 Frontage Rd, Suite 202, Odessa, TX 79765 Ph: (800) 404-6050 |
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