Wagner Performance Chiropractic | |
1001 Se 3rd Ave Amarillo TX 79102-3201 | |
(806) 318-0632 | |
Not Available |
Full Name | Wagner Performance Chiropractic |
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Speciality | Clinic/Center |
Location | 1001 Se 3rd Ave, Amarillo, Texas |
Authorized Official Name and Position | Grant Curtis Wagner (DOCTOR/OWNER) |
Authorized Official Contact | 5756077097 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wagner Performance Chiropractic 6404 Nancy Ellen St Amarillo TX 79119-6325 Ph: (575) 607-7097 | Wagner Performance Chiropractic 1001 Se 3rd Ave Amarillo TX 79102-3201 Ph: (806) 318-0632 |
NPI Number | 1689355836 |
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Provider Enumeration Date | 07/31/2023 |
Last Update Date | 07/31/2023 |
Medicare PECOS PAC ID | 0345695326 |
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Medicare Enrollment ID | O20231011001345 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689355836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Grant Wagner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1881378743 PECOS PAC ID: 4789039769 Enrollment ID: I20231011001775 |
Srinivas Pathapati, Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6833 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-467-9820 Fax: 806-467-9743 | |
Eres Bella, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5215 S Coulter St Ste 200, Amarillo, TX 79119 Phone: 806-672-9929 Fax: 806-553-1531 | |
Ron K. Rankin, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W 14th Ave, Amarillo, TX 79101 Phone: 806-622-2725 Fax: 806-352-4887 | |