| Dr Walter J Mellgren Jr Dc Pa | |
|
109 N Reagan St, West, TX 76691-1446 | |
| (254) 826-3737 | |
| (254) 826-3769 |
| Full Name | Dr Walter J Mellgren Jr Dc Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 109 N Reagan St, West, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154467934 | NPI | - | NPPES |
| 00L71L | Other | TX | BLUE CROSS BLUESHIELD OF TEXAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Michael Mellgren |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922037837 PECOS PAC ID: 9830100510 Enrollment ID: I20060509000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walter J Mellgren Jr Dc Pa Po Box 475, West, TX 76691-0475 Ph: (254) 826-3737 | Dr Walter J Mellgren Jr Dc Pa 109 N Reagan St, West, TX 76691-1446 Ph: (254) 826-3737 |
Richard Elton Davis, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 109 N Reagan St, West, TX 76691 Phone: 254-826-3737 Fax: 254-826-3769 | |
Dr. Walter Jean Mellgren Jr., DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 109 N Reagan St, West, TX 76691 Phone: 254-826-3737 Fax: 254-826-3769 | |
Richard E Davis, Dc, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 109 N Reagan St, West, TX 76691 Phone: 806-290-5208 |