| A Chiropractor On Hwy 155, Inc | |
|
2114 State Highway 155, Palestine, TX 75803-8606 | |
| (903) 729-3772 | |
| (903) 723-0920 |
| Full Name | A Chiropractor On Hwy 155, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2114 State Highway 155, Palestine, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982734851 | NPI | - | NPPES |
| 1750372009 | Other | TX | PROVIDER'S NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 8293 (Texas) | Primary |
| Provider Name | Randall Coleman Gray |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750372009 PECOS PAC ID: 7214052760 Enrollment ID: I20100921000532 |
| Mailing Address | Practice Location Address |
|---|---|
| A Chiropractor On Hwy 155, Inc Po Box 950, Palestine, TX 75802-0950 Ph: (903) 729-3772 | A Chiropractor On Hwy 155, Inc 2114 State Highway 155, Palestine, TX 75803-8606 Ph: (903) 729-3772 |
Dr. Zachary Zane Leslie, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 320 W Palestine Ave, Palestine, TX 75801 Phone: 903-729-5051 Fax: 903-729-0316 | |
Sarah Carr, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 100 Willow Creek Pkwy Ste C, Palestine, TX 75801 Phone: 903-729-5051 | |
Kelsee Wade, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2114 State Highway 155, Palestine, TX 75803 Phone: 903-729-3772 Fax: 903-723-0920 | |
Jacqueline Dominguez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 100 Willow Creek Pkwy Ste C, Palestine, TX 75801 Phone: 903-729-5051 | |
Tristan Moore, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 100 Willow Creek Pkwy Ste C, Palestine, TX 75801 Phone: 903-729-5051 | |
Dr. Don Andrew Rice, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 801 N Mallard St, Palestine, TX 75801 Phone: 903-731-4446 Fax: 903-731-4770 | |
Dr. John H Dorsett, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1002 N Mallard, Palestine, TX 75801 Phone: 903-723-1500 Fax: 903-723-5331 |