| Chisholm Trail Clinic Of Chiropractic | |
|
731 S Colorado St, Lockhart, TX 78644-3103 | |
| (512) 668-4163 | |
| Not Available |
| Full Name | Chisholm Trail Clinic Of Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 731 S Colorado St, Lockhart, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578871653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 11510 (Texas) | Primary |
| Provider Name | Ronald James Peterson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205143948 PECOS PAC ID: 9830384155 Enrollment ID: I20101112000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Chisholm Trail Clinic Of Chiropractic 1607 Paintbrush Dr, Lockhart, TX 78644-3087 Ph: (512) 668-4163 | Chisholm Trail Clinic Of Chiropractic 731 S Colorado St, Lockhart, TX 78644-3103 Ph: (512) 668-4163 |
Central Texas Welllness Center, L.l.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1105 S Medina St, Lockhart, TX 78644 Phone: 512-398-6262 Fax: 512-398-6040 | |
Dr. Ronald James Peterson, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 731 S Colorado St, Lockhart, TX 78644 Phone: 512-668-4163 | |
Dr. Anice M. Lebeouf, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 211 W Market St, Lockhart, TX 78644 Phone: 512-913-3993 |