| Jordan Walsh, DC | |
|
301 W Vickery Blvd, Fort Worth, TX 76104-1202 | |
| (177) 209-1358 | |
| Not Available |
| Full Name | Jordan Walsh |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 301 W Vickery Blvd, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043790918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 13541 (Texas) | Primary |
| Provider Name | First Family Care Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154666758 PECOS PAC ID: 3577701085 Enrollment ID: O20130522000598 |
| Provider Name | Walsh Chirosport Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417526120 PECOS PAC ID: 0345642435 Enrollment ID: O20210712004210 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Walsh, DC 301 W Vickery Blvd, Fort Worth, TX 76104-1202 Ph: (817) 720-9135 | Jordan Walsh, DC 301 W Vickery Blvd, Fort Worth, TX 76104-1202 Ph: (177) 209-1358 |
Mr. Jason Meyer, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 903 Summit Ave, Fort Worth, TX 76102 Phone: 817-877-5353 Fax: 817-877-5357 | |
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