| Justin Fennell, | |
|
170 N Main St, Van Alstyne, TX 75495-9700 | |
| (972) 400-0024 | |
| Not Available |
| Full Name | Justin Fennell |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 170 N Main St, Van Alstyne, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508435660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 14614 (Texas) | Primary |
| Provider Name | Fennell Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578245940 PECOS PAC ID: 3870955172 Enrollment ID: O20240418002462 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Fennell, 170 N Main St, Van Alstyne, TX 75495-9700 Ph: (972) 400-0024 | Justin Fennell, 170 N Main St, Van Alstyne, TX 75495-9700 Ph: (972) 400-0024 |
Braddock Chiropractic And Family Wellness Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 119 N. Main St., Van Alstyne, TX 75495 Phone: 903-482-1234 Fax: 903-482-1232 | |
Braddock Chiropractic & Family Wellness Chiropractor Medicare: Medicare Enrolled Practice Location: 119 N Main St, Van Alstyne, TX 75495 Phone: 903-482-1232 | |
Dr. Alex Castro, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 170 N Main St, Van Alstyne, TX 75495 Phone: 903-482-1234 | |
Dr. Caleb Clifford Braddock, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 119 N Main St, Van Alstyne, TX 75495 Phone: 903-482-1234 Fax: 903-482-1232 |