| Performance Health Group | |
|
1601 N Highway 77 Waxahachie TX 75165-7812 | |
| (214) 230-1621 | |
| (972) 935-0930 |
| Full Name | Performance Health Group |
|---|---|
| Speciality | Chiropractor |
| Location | 1601 N Highway 77, Waxahachie, Texas |
| Authorized Official Name and Position | Matthew Blake Manis (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2142301621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Health Group 119 Chesterfield Cir Waxahachie TX 75165-6362 Ph: (214) 230-1621 | Performance Health Group 1601 N Highway 77 Waxahachie TX 75165-7812 Ph: (214) 230-1621 |
| NPI Number | 1851726723 |
|---|---|
| Provider Enumeration Date | 09/10/2013 |
| Last Update Date | 09/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851726723 | NPI | - | NPPES |
| 1215360490 | Other | NPPES, NPI | |
| 1104817899 | Other | NPPES, NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Texas) | Secondary |
| 111N00000X | Chiropractor | 6118 (Texas) | Primary |
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