| Atlas Chiropractic | |
|
1121 Evergreen St Longview TX 75604-2130 | |
| (903) 759-5567 | |
| (903) 759-5631 |
| Full Name | Atlas Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1121 Evergreen St, Longview, Texas |
| Authorized Official Name and Position | Craig Lynn Raschke (OWNER/PRESIDENT) |
| Authorized Official Contact | 8178890983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Chiropractic 1121 Evergreen St Longview TX 75604-2130 Ph: (903) 759-5567 | Atlas Chiropractic 1121 Evergreen St Longview TX 75604-2130 Ph: (903) 759-5567 |
| NPI Number | 1487206900 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 08/15/2019 |
| Medicare PECOS PAC ID | 1557794435 |
|---|---|
| Medicare Enrollment ID | O20191206001288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487206900 | NPI | - | NPPES |
| 1790103448 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Craig L Raschke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790103448 PECOS PAC ID: 1658596200 Enrollment ID: I20140715002064 |
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