| Back On Track Chiropractic Wellness Pllc | |
|
501 Sw Wilshire Blvd Ste B Burleson TX 76028-5334 | |
| (817) 295-7444 | |
| (682) 841-1443 |
| Full Name | Back On Track Chiropractic Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 Sw Wilshire Blvd Ste B, Burleson, Texas |
| Authorized Official Name and Position | Keith Raber (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Contact | 8172957444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Back On Track Chiropractic Wellness Pllc 501 Sw Wilshire Blvd Ste B Burleson TX 76028-5334 Ph: (817) 295-7444 | Back On Track Chiropractic Wellness Pllc 501 Sw Wilshire Blvd Ste B Burleson TX 76028-5334 Ph: (817) 295-7444 |
| NPI Number | 1215517263 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/13/2021 |
| Medicare PECOS PAC ID | 2769890995 |
|---|---|
| Medicare Enrollment ID | O20210428000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215517263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Keith A Raber |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649423203 PECOS PAC ID: 4688839996 Enrollment ID: I20120711000125 |
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