| Spine Time Pa | |
|
4702 Northwest Hwy, Garland, TX 75043-4912 | |
| (972) 270-5333 | |
| Not Available |
| Full Name | Spine Time Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4702 Northwest Hwy, Garland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003005646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NN1001X | Chiropractor - Nutrition | 10235 (Texas) | Secondary |
| 111NS0005X | Chiropractor - Sports Physician | 10235 (Texas) | Secondary |
| 111N00000X | Chiropractor | 10235 (Texas) | Primary |
| Provider Name | Dennis W Williamson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346397080 PECOS PAC ID: 0345326104 Enrollment ID: I20080320000108 |
| Provider Name | Ismael Gonzalez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033725544 PECOS PAC ID: 4486067246 Enrollment ID: I20210115001376 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine Time Pa 4702 Northwest Hwy, Garland, TX 75043-4912 Ph: (972) 270-5333 | Spine Time Pa 4702 Northwest Hwy, Garland, TX 75043-4912 Ph: (972) 270-5333 |
Dr. Ronald Edward Kohlstrand Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3250 W Walnut St, Garland, TX 75042 Phone: 214-227-4401 Fax: 214-227-5104 | |
Ivey Poellinger, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1919 S Shiloh Rd Ste 400, Garland, TX 75042 Phone: 972-840-2520 | |
Shiva Shirvani, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3307 Belt Line Rd, Garland, TX 75044 Phone: 972-496-2225 Fax: 972-495-3531 | |
Long Hong Ha, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2426 Creekdale Dr, Garland, TX 75044 Phone: 214-293-4843 | |
Dr. James A Mixon, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2692 W Walnut St Ste 101, Garland, TX 75042 Phone: 972-272-4232 Fax: 972-272-4247 | |
Dr. Deanna Mccutcheon Kern, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4301 Saturn Rd Ste 201, Garland, TX 75041 Phone: 214-275-7200 Fax: 214-703-3354 |