| Mv Spine And Joint, P.a. | |
|
703 Us Highway 90 E, Suite 107, Castroville, TX 78009-5246 | |
| (830) 931-2211 | |
| (830) 538-3778 |
| Full Name | Mv Spine And Joint, P.a. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 703 Us Highway 90 E, Castroville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366614653 | NPI | - | NPPES |
| 154829718 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 12929 (Texas) | Primary |
| 251T00000X | Program Of All-inclusive Care For The Elderly (pace) Provider Organization | 1507 (Arkansas) | Secondary |
| Provider Name | Lee Brent Dover |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043286149 PECOS PAC ID: 5799717583 Enrollment ID: I20151104001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Mv Spine And Joint, P.a. 711 Midway Crst, San Antonio, TX 78258-4335 Ph: (501) 337-6688 | Mv Spine And Joint, P.a. 703 Us Highway 90 E, Suite 107, Castroville, TX 78009-5246 Ph: (830) 931-2211 |
Medina Valley Spine And Joint, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 209 Us Highway 90 W, Suite 2, Castroville, TX 78009 Phone: 830-931-2211 Fax: 830-538-3778 | |
Dr. Lee Brent Dover, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 703 Us Highway 90 E, Suite 107, Castroville, TX 78009 Phone: 830-931-2211 Fax: 830-538-3778 | |
George Martin Bashton, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1011 Alamo St, Castroville, TX 78009 Phone: 830-931-3373 Fax: 830-931-2527 | |
Dr. Ernest Conrad Kothmann, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 209 Us Highway 90 W, Suite 2, Castroville, TX 78009 Phone: 830-931-2211 Fax: 830-538-3778 |