| Fennell Chiropractic, Llc | |
|
501 N Union St Whitesboro TX 76273-1321 | |
| (903) 821-6559 | |
| Not Available |
| Full Name | Fennell Chiropractic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 N Union St, Whitesboro, Texas |
| Authorized Official Name and Position | Justin Fennell (CHIROPRACTOR/OWNER) |
| Authorized Official Contact | 9038216559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fennell Chiropractic, Llc 501 N Union St Whitesboro TX 76273-1321 Ph: (903) 821-6559 | Fennell Chiropractic, Llc 501 N Union St Whitesboro TX 76273-1321 Ph: (903) 821-6559 |
| NPI Number | 1578245940 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 3870955172 |
|---|---|
| Medicare Enrollment ID | O20240418002462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578245940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Justin Fennell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508435660 PECOS PAC ID: 5496151276 Enrollment ID: I20240418002604 |
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