| Renewed Eagle Chiropractic | |
|
3500 William D Tate Ave Ste 175 Grapevine TX 76051-8749 | |
| (817) 421-4775 | |
| Not Available |
| Full Name | Renewed Eagle Chiropractic |
|---|---|
| Speciality | Clinic/center |
| Location | 3500 William D Tate Ave Ste 175, Grapevine, Texas |
| Authorized Official Name and Position | Natalie Marie Moore (BUSINESS OWNER/CHIROPRACTOR) |
| Authorized Official Contact | 8176888999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Eagle Chiropractic 700 Oakwood Ave Hurst TX 76053-5511 Ph: (817) 688-8999 | Renewed Eagle Chiropractic 3500 William D Tate Ave Ste 175 Grapevine TX 76051-8749 Ph: (817) 421-4775 |
| NPI Number | 1275040115 |
|---|---|
| Provider Enumeration Date | 12/31/2017 |
| Last Update Date | 12/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275040115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 13549 (Texas) | Primary |
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