| Livingston Chiropractic Clinic | |
|
400 Bypass Ln, Suite 103, Livingston, TX 77351-6351 | |
| (936) 327-3140 | |
| Not Available |
| Full Name | Livingston Chiropractic Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 400 Bypass Ln, Livingston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053481234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 11759 (Texas) | Secondary |
| 111NS0005X | Chiropractor - Sports Physician | 4311 (Texas) | Primary |
| Provider Name | William Wall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083906036 PECOS PAC ID: 8022286285 Enrollment ID: I20110714000563 |
| Provider Name | Kenneth Dominguez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194365346 PECOS PAC ID: 1355739889 Enrollment ID: I20211102001466 |
| Mailing Address | Practice Location Address |
|---|---|
| Livingston Chiropractic Clinic 400 Bypass Ln, Suite 103, Livingston, TX 77351-6351 Ph: (936) 327-3140 | Livingston Chiropractic Clinic 400 Bypass Ln, Suite 103, Livingston, TX 77351-6351 Ph: (936) 327-3140 |
Dr. Dennis Wayne Teal, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2000 U S Highway 190 W, Livingston, TX 77351 Phone: 936-327-5572 Fax: 936-327-5573 | |
Dr. William Allan Wall, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 400 Bypass Ln, Suite 103, Livingston, TX 77351 Phone: 936-327-3140 Fax: 936-327-3282 | |
Dr. Kyle Scott Workman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 400 Bypass Ln, Ste. 103, Livingston, TX 77351 Phone: 281-705-2900 | |
Tiffany Dawn Jones-lee, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 312 E Church St, Livingston, TX 77351 Phone: 936-327-8800 Fax: 936-327-3049 |