| Larry L Schaffer, DC | |
|
2806 Mitchell St, Greenville, TX 75402-8939 | |
| (817) 366-4204 | |
| Not Available |
| Full Name | Larry L Schaffer |
|---|---|
| Gender | Facility |
| Speciality | Chiropractic |
| Experience | 1 Years |
| Location | 2806 Mitchell St, Greenville, Texas |
| Accepts Medicare Assignments | Yes. It accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194607523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 16542 (Texas) | Primary |
| Provider Name | The Crack Shack Chiropractic LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932064904 PECOS PAC ID: 7214417070 Enrollment ID: O20260219001539 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry L Schaffer, DC 157 Bethel Rd # Spot76, Greenville, TX 75402-5236 Ph: (817) 366-4204 | Larry L Schaffer, DC 2806 Mitchell St, Greenville, TX 75402-8939 Ph: (817) 366-4204 |
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