| Tully Chiropractic Center | |
|
639 Tully Rd Ste G, San Jose, CA 95111-1000 | |
| (408) 947-8684 | |
| (408) 947-0321 |
| Full Name | Tully Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 639 Tully Rd Ste G, San Jose, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730376575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC26797 (California) | Primary |
| Provider Name | Truc N Pham |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578645826 PECOS PAC ID: 5991874679 Enrollment ID: I20080521000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Tully Chiropractic Center 639 Tully Rd Ste G, San Jose, CA 95111-1000 Ph: (408) 947-8684 | Tully Chiropractic Center 639 Tully Rd Ste G, San Jose, CA 95111-1000 Ph: (408) 947-8684 |
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