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Contact Information

LAKE TEXOMA CHIROPRACTIC
81750 N STATE HWY 289 STE 102
POTTSBORO, TX75076
 Phone: 903-327-9166
 Fax: 888-886-8139
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LAKE TEXOMA CHIROPRACTIC · (Female)

NPI Number 1700293453
Status Active
Credentials
Entity Individual
Enumeration date 07/15/2014
Last updated 01/10/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # DC009315
  • TX Medicaid 3413536-01
  • PA Other 001676219 HIGHMARK
  • PA Other DE8220 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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