Jack V. Waters, D.c., P.c. | |
1833 W 21st St Clovis NM 88101-4023 | |
(575) 763-8888 | |
(575) 763-8891 |
Full Name | Jack V. Waters, D.c., P.c. |
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Speciality | Clinic/Center |
Location | 1833 W 21st St, Clovis, New Mexico |
Authorized Official Name and Position | Jack V. Waters (PRESIDENT) |
Authorized Official Contact | 5757638888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jack V. Waters, D.c., P.c. 1833 W 21st St Clovis NM 88101-4023 Ph: (575) 763-8888 | Jack V. Waters, D.c., P.c. 1833 W 21st St Clovis NM 88101-4023 Ph: (575) 763-8888 |
NPI Number | 1265680094 |
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Provider Enumeration Date | 09/04/2008 |
Last Update Date | 12/10/2008 |
Medicare PECOS PAC ID | 6709954829 |
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Medicare Enrollment ID | O20081002000410 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265680094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 989 (New Mexico) | Primary |
Provider Name | Jack V Waters |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1396845327 PECOS PAC ID: 3971671116 Enrollment ID: I20081001000490 |
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Lockmiller Health & Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 608 North Prince Street, Suite C, Clovis, NM 88101 Phone: 575-742-8911 Fax: 575-742-8902 | |
Eastern New Mexico Physicians And Surgeons Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2425 W 21st Street, Clovis, NM 88101 Phone: 505-763-9800 Fax: 505-769-1998 | |
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T. Charles Hillis, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 N Main St, Ste 31, Clovis, NM 88101 Phone: 575-763-4057 Fax: 575-763-4091 | |
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