| Shepherd Chiropractic Offices, Inc. | |
|
5800 Legacy Drive Suite 12c Plano TX 75024 | |
| (972) 446-8877 | |
| (972) 446-1142 |
| Full Name | Shepherd Chiropractic Offices, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 5800 Legacy Drive, Plano, Texas |
| Authorized Official Name and Position | Maxwell Richie (OFFICE MANAGER) |
| Authorized Official Contact | 9724468877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepherd Chiropractic Offices, Inc. 5800 Legacy Drive Suite 12c Plano TX 75024 Ph: (972) 446-8877 | Shepherd Chiropractic Offices, Inc. 5800 Legacy Drive Suite 12c Plano TX 75024 Ph: (972) 446-8877 |
| NPI Number | 1538475850 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538475850 | NPI | - | NPPES |
| DC4514 | Other | TX | LICENSE |
| 601779 | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC4514 (Texas) | Primary |
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