| Ray Chiropractic And Wellness, Llc | |
|
5004 Thompson Ter Ste 102 Colleyville TX 76034-6130 | |
| (817) 991-1997 | |
| Not Available |
| Full Name | Ray Chiropractic And Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5004 Thompson Ter Ste 102, Colleyville, Texas |
| Authorized Official Name and Position | Fawn Ray (OWNER) |
| Authorized Official Contact | 8179911997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Chiropractic And Wellness, Llc Po Box 452 Colleyville TX 76034-0452 Ph: (817) 991-1997 | Ray Chiropractic And Wellness, Llc 5004 Thompson Ter Ste 102 Colleyville TX 76034-6130 Ph: (817) 991-1997 |
| NPI Number | 1598378200 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 08/24/2020 |
| Medicare PECOS PAC ID | 6901226687 |
|---|---|
| Medicare Enrollment ID | O20201019001805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598378200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Fawn C Ray |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174542591 PECOS PAC ID: 5395834592 Enrollment ID: I20150127000164 |
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