Norbert Enterprises, Pllc | |
1202 Lakeway Dr Suite 14 Lakeway TX 78734-4473 | |
(214) 697-0515 | |
Not Available |
Full Name | Norbert Enterprises, Pllc |
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Speciality | Clinic/Center |
Location | 1202 Lakeway Dr, Lakeway, Texas |
Authorized Official Name and Position | Jeannique Norbert (OWNER/MANAGER) |
Authorized Official Contact | 2146970515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Norbert Enterprises, Pllc 2306 Pipit Ct Cedar Park TX 78613-4330 Ph: () - | Norbert Enterprises, Pllc 1202 Lakeway Dr Suite 14 Lakeway TX 78734-4473 Ph: (214) 697-0515 |
NPI Number | 1881063964 |
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Provider Enumeration Date | 09/18/2015 |
Last Update Date | 09/18/2015 |
Medicare PECOS PAC ID | 2860796257 |
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Medicare Enrollment ID | O20160204001818 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881063964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 12966 (Texas) | Primary |
Provider Name | Jeannique Enefa Norbert |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1255713673 PECOS PAC ID: 3779887161 Enrollment ID: I20160204001898 |
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