| Reactiv Sport And Spine, Llc | |
|
710 E Park Blvd Ste 110, Plano, TX 75074-8854 | |
| (972) 850-1446 | |
| Not Available |
| Full Name | Reactiv Sport And Spine, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 710 E Park Blvd Ste 110, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689440950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Charles T Allen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912444647 PECOS PAC ID: 1254663669 Enrollment ID: I20191104001216 |
| Mailing Address | Practice Location Address |
|---|---|
| Reactiv Sport And Spine, Llc 710 E Park Blvd Ste 110, Plano, TX 75074-8854 Ph: (972) 850-1446 | Reactiv Sport And Spine, Llc 710 E Park Blvd Ste 110, Plano, TX 75074-8854 Ph: (972) 850-1446 |
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