| Cornerstone Chiropractic, L.l.c. | |
|
204 Central Expy S Suite 45 Allen TX 75013-2799 | |
| (214) 383-9170 | |
| Not Available |
| Full Name | Cornerstone Chiropractic, L.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 204 Central Expy S, Allen, Texas |
| Authorized Official Name and Position | Demetrius Anderson (OWNER) |
| Authorized Official Contact | 3145402560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Chiropractic, L.l.c. 204 Central Expy S Suite 45 Allen TX 75013-2799 Ph: () - | Cornerstone Chiropractic, L.l.c. 204 Central Expy S Suite 45 Allen TX 75013-2799 Ph: (214) 383-9170 |
| NPI Number | 1417354705 |
|---|---|
| Provider Enumeration Date | 12/02/2014 |
| Last Update Date | 05/13/2016 |
| Medicare PECOS PAC ID | 6406177260 |
|---|---|
| Medicare Enrollment ID | O20150604001669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417354705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
| Provider Name | Demetrius L Anderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407123037 PECOS PAC ID: 3779747514 Enrollment ID: I20150604001789 |
| Provider Name | Stormy Green |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295513133 PECOS PAC ID: 4688018443 Enrollment ID: I20240220002751 |
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