| Tyler Chiropractic, Inc | |
|
945 S Baxter Ave, Tyler, TX 75701-2210 | |
| (903) 595-2664 | |
| (903) 592-8461 |
| Full Name | Tyler Chiropractic, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 945 S Baxter Ave, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295775096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC2507 (Texas) | Primary |
| 111N00000X | Chiropractor | DC9333 (Texas) | Secondary |
| Provider Name | Justin M Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932100500 PECOS PAC ID: 8022029859 Enrollment ID: I20060509000082 |
| Provider Name | James A Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598767592 PECOS PAC ID: 1052322914 Enrollment ID: I20060509000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Chiropractic, Inc 945 S Baxter Ave, Tyler, TX 75701-2210 Ph: (903) 595-2664 | Tyler Chiropractic, Inc 945 S Baxter Ave, Tyler, TX 75701-2210 Ph: (903) 595-2664 |
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