| 100 Chiro Prince Pllc | |
|
2757 E Southlake Blvd Ste A110, Southlake, TX 76092-8014 | |
| (214) 498-6263 | |
| Not Available |
| Full Name | 100 Chiro Prince Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2757 E Southlake Blvd Ste A110, Southlake, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922735141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Courtney Diane Prince |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093347452 PECOS PAC ID: 6204295272 Enrollment ID: I20230710002773 |
| Mailing Address | Practice Location Address |
|---|---|
| 100 Chiro Prince Pllc 8809 Copper River Dr, Fort Worth, TX 76131-2565 Ph: (214) 498-6263 | 100 Chiro Prince Pllc 2757 E Southlake Blvd Ste A110, Southlake, TX 76092-8014 Ph: (214) 498-6263 |
Dr. Kevin Stice, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 500 North Carroll Avenue, #100, Southlake, TX 76092 Phone: 817-488-6495 Fax: 817-488-6592 | |
Texan Frogs Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 502 N Carroll Ave Ste 130, Southlake, TX 76092 Phone: 972-638-0994 | |
Southlake Health P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 100 W Southlake Blvd, Suite # 410, Southlake, TX 76092 Phone: 817-310-6604 Fax: 817-310-6478 | |
Southlake Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 170 Players Cir Ste 100, Southlake, TX 76092 Phone: 817-488-8837 Fax: 817-488-8927 | |
Darnell Brown, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 321 W Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-488-4186 Fax: 817-488-7417 | |
Courtney Diane Prince, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2757 E Southlake Blvd Ste 110, Southlake, TX 76092 Phone: 682-688-5534 Fax: 682-688-5549 | |
Core Activated Rehab 2 Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1800 East Highway 114, Suite 101, Southlake, TX 76090 Phone: 985-173-1173 |