| Living Well Chiropractic Pc | |
|
4211 Texas Blvd Texarkana TX 75503-3012 | |
| (903) 255-7094 | |
| Not Available |
| Full Name | Living Well Chiropractic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4211 Texas Blvd, Texarkana, Texas |
| Authorized Official Name and Position | Monica Trevino (OWNER) |
| Authorized Official Contact | 9032557094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Chiropractic Pc 4211 Texas Blvd Texarkana TX 75503-3012 Ph: (903) 255-7094 | Living Well Chiropractic Pc 4211 Texas Blvd Texarkana TX 75503-3012 Ph: (903) 255-7094 |
| NPI Number | 1184242059 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 07/08/2020 |
| Medicare PECOS PAC ID | 8022432467 |
|---|---|
| Medicare Enrollment ID | O20200720000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184242059 | NPI | - | NPPES |
| 14133 | Other | TX | TEXAS BOARD CHIROPRACTIC EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Monica M Trevino |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679127153 PECOS PAC ID: 4486086014 Enrollment ID: I20191119002839 |
Express Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5483 Summerhill Rd, Texarkana, TX 75503 Phone: 903-223-5931 Fax: 903-223-5930 | |
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Nathan J Wright Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2014 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-792-2991 Fax: 903-793-7996 | |
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