| Richard Elton Davis, DC | |
|
109 N Reagan St, West, TX 76691-1446 | |
| (254) 826-3737 | |
| (254) 826-3769 |
| Full Name | Richard Elton Davis |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 109 N Reagan St, West, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215553318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 14107 (Texas) | Primary |
| Provider Name | Richard E Davis, Dc, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972236057 PECOS PAC ID: 8820470784 Enrollment ID: O20220809002458 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Elton Davis, DC Po Box 338, West, TX 76691-0338 Ph: (254) 826-3737 | Richard Elton Davis, DC 109 N Reagan St, West, TX 76691-1446 Ph: (254) 826-3737 |
Dr Walter J Mellgren Jr Dc Pa 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 |