| Phillips Chiropractic | |
|
1520 Leander Rd Ste 103 Georgetown TX 78628-8842 | |
| (512) 639-4849 | |
| Not Available |
| Full Name | Phillips Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1520 Leander Rd Ste 103, Georgetown, Texas |
| Authorized Official Name and Position | Shelby Danielle Phillips (OWNER) |
| Authorized Official Contact | 5126394849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillips Chiropractic 80 County Road 124 Georgetown TX 78626-2468 Ph: (512) 639-4849 | Phillips Chiropractic 1520 Leander Rd Ste 103 Georgetown TX 78628-8842 Ph: (512) 639-4849 |
| NPI Number | 1114485497 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 04/01/2019 |
| Medicare PECOS PAC ID | 8921331174 |
|---|---|
| Medicare Enrollment ID | O20190604000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114485497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Shelby Danielle Phillips |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376001651 PECOS PAC ID: 9830422088 Enrollment ID: I20190604000772 |
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