| Innate Ability Llc | |
|
1742 Fm 2673 Canyon Lake TX 78133-4743 | |
| (830) 964-3032 | |
| (830) 964-4460 |
| Full Name | Innate Ability Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1742 Fm 2673, Canyon Lake, Texas |
| Authorized Official Name and Position | Jeffrey Q Harper (OWNER) |
| Authorized Official Contact | 8309643032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innate Ability Llc 1742 Fm 2673 Canyon Lake TX 78133-4743 Ph: (830) 964-3032 | Innate Ability Llc 1742 Fm 2673 Canyon Lake TX 78133-4743 Ph: (830) 964-3032 |
| NPI Number | 1033466719 |
|---|---|
| Provider Enumeration Date | 08/13/2012 |
| Last Update Date | 08/13/2012 |
| Medicare PECOS PAC ID | 2668637000 |
|---|---|
| Medicare Enrollment ID | O20120710000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033466719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 11974 (Texas) | Primary |
| Provider Name | Jeffrey Quentin Harper |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649543455 PECOS PAC ID: 3072760453 Enrollment ID: I20120821000424 |
Windmill Wellness Ranch Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26229 N Cranes Mill Rd, Canyon Lake, TX 78133 Phone: 830-935-2800 | |
Canyon Lake Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1356 Fm 2673, Canyon Lake, TX 78133 Phone: 830-964-3019 Fax: 830-226-5002 |