| Custom Chiropractic | |
|
117 Whistlestop Way, Fairview, TX 75069-1827 | |
| (469) 210-5402 | |
| Not Available |
| Full Name | Custom Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 117 Whistlestop Way, Fairview, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528869070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (NU) | Primary |
| Provider Name | Jenny Garner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699471235 PECOS PAC ID: 6709237654 Enrollment ID: I20240104004643 |
| Provider Name | Taylor-marie Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699536375 PECOS PAC ID: 3072966365 Enrollment ID: I20240202001964 |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Chiropractic 117 Whistlestop Way, Fairview, TX 75069-1827 Ph: (469) 210-5402 | Custom Chiropractic 117 Whistlestop Way, Fairview, TX 75069-1827 Ph: (469) 210-5402 |
Dr. Lee Wilson Ligon, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 990 S State Highway 5, Suite 103, Fairview, TX 75069 Phone: 214-544-0123 Fax: 214-544-0128 |
Dr. Alisha Russ, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 910 Foxglove Trl, Fairview, TX 75069 Phone: 727-742-7358 Fax: 972-208-0419 |
Lee W. Ligon, D.c., P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 990 State Highway 5, Suite 103, Fairview, TX 75069 Phone: 214-544-0123 Fax: 214-544-0128 |
Greenhead Diagnostics, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 637 Merlot Ct, Fairview, TX 75069 Phone: 214-383-9622 |
Jenny Marie Garner, Chiropractor Medicare: Medicare Enrolled Practice Location: 117 Whistlestop Way, Fairview, TX 75069 Phone: 469-210-5402 |
100 Chiro Peterson Ruiz Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 117 Whistlestop Way, Unit 3, Fairview, TX 75069 Phone: 719-217-0895 |
Dr. Michael Peterson, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 117 Whistlestop Way, Unit 3, Fairview, TX 75069 Phone: 719-251-7708 |