| Sportmed Chiropractic Pllc | |
|
1100 S Main St, Suite D, Grapevine, TX 76051-7531 | |
| (817) 203-2184 | |
| (817) 488-9054 |
| Full Name | Sportmed Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1100 S Main St, Grapevine, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184048654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 12373 (Texas) | Primary |
| Provider Name | Ryan Scott Robinson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851739072 PECOS PAC ID: 1658503008 Enrollment ID: I20140501000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Sportmed Chiropractic Pllc 1100 S Main St, Suite D, Grapevine, TX 76051-7531 Ph: (817) 203-2184 | Sportmed Chiropractic Pllc 1100 S Main St, Suite D, Grapevine, TX 76051-7531 Ph: (817) 203-2184 |
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