| Stance Chiropractic | |
|
2401 Avenue J Ste 210 Arlington TX 76006-6118 | |
| (972) 262-7373 | |
| Not Available |
| Full Name | Stance Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2401 Avenue J Ste 210, Arlington, Texas |
| Authorized Official Name and Position | Kristina Wykle (BILLING MANAGER) |
| Authorized Official Contact | 3527083454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stance Chiropractic 2401 Avenue J Ste 210 Arlington TX 76006-6118 Ph: () - | Stance Chiropractic 2401 Avenue J Ste 210 Arlington TX 76006-6118 Ph: (972) 262-7373 |
| NPI Number | 1790245025 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 06/20/2019 |
| Medicare PECOS PAC ID | 5395079016 |
|---|---|
| Medicare Enrollment ID | O20190628000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790245025 | NPI | - | NPPES |
| 8086 | Other | TX | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Rodney Paul Wirth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023176930 PECOS PAC ID: 7012241730 Enrollment ID: I20190628001037 |
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