| Prodigy Chiropractic Llc | |
|
2920 W Park Row Dr Ste 100, Pantego, TX 76013-2054 | |
| (817) 277-1111 | |
| (817) 861-4593 |
| Full Name | Prodigy Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2920 W Park Row Dr Ste 100, Pantego, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205705621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jeffrey C Pedersen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639161516 PECOS PAC ID: 9931393493 Enrollment ID: I20101029000154 |
| Provider Name | Joseph Polani Ruane |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912498262 PECOS PAC ID: 0941719629 Enrollment ID: I20250604000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Prodigy Chiropractic Llc 2920 W Park Row Dr Ste 100, Pantego, TX 76013-2054 Ph: (817) 277-1111 | Prodigy Chiropractic Llc 2920 W Park Row Dr Ste 100, Pantego, TX 76013-2054 Ph: (817) 277-1111 |
Nicole Ashley Whitby, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2401 W Pioneer Pkwy Ste 145, Pantego, TX 76013 Phone: 682-276-1532 |
Dr. Matthew Aaron Ortega, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2401 W Pioneer Pkwy Ste 145, Pantego, TX 76013 Phone: 682-276-1532 |
Monica Carnera, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2920 W Park Row Dr Ste 100, Pantego, TX 76013 Phone: 817-277-1111 |
Capuli Chiropractic Healthcare Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 2223 W Park Row Dr, Suite C, Pantego, TX 76013 Phone: 817-460-1131 Fax: 817-460-1195 |
Dr. Robert Thurston Aldridge, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2401 W Pioneer Pkwy, Suite 145, Pantego, TX 76013 Phone: 817-299-0200 Fax: 817-299-0207 |
Dr. Brianna Ortiz, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2702 W Park Row Dr, Pantego, TX 76013 Phone: 956-683-5852 |
Dr. Bethany Roggendorf, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2920 W Park Row Dr Ste 100, Pantego, TX 76013 Phone: 817-277-1111 |