| C1 Legacy Llc | |
|
225 S David St, San Angelo, TX 76903-6335 | |
| (325) 655-3666 | |
| Not Available |
| Full Name | C1 Legacy Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 225 S David St, San Angelo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164799227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 10157 (Texas) | Primary |
| Provider Name | Justin D Cordle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134793656 PECOS PAC ID: 9133528581 Enrollment ID: I20210604001483 |
| Mailing Address | Practice Location Address |
|---|---|
| C1 Legacy Llc 225 S David St, San Angelo, TX 76903-6335 Ph: (325) 655-3666 | C1 Legacy Llc 225 S David St, San Angelo, TX 76903-6335 Ph: (325) 655-3666 |
Drew G. Wallace, Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 1801 W Avenue N, San Angelo, TX 76904 Phone: 325-949-7878 Fax: 325-944-7703 | |
Brian Jay Anderson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3950 Sunset Dr, San Angelo, TX 76904 Phone: 325-949-1600 Fax: 325-944-3754 | |
Dr. Kendra Ann Chowning, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3950 Sunset Dr, San Angelo, TX 76904 Phone: 325-949-1600 | |
Dr. Kyle J Lawson, DC, MS, CFMP Chiropractor Medicare: Medicare Enrolled Practice Location: 2926 Sherwood Way Ste 100, San Angelo, TX 76901 Phone: 325-208-4842 | |
Monty C. Wright, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2102 Pecos St Ste 8, San Angelo, TX 76901 Phone: 325-655-1070 Fax: 325-610-6515 | |
Dr. Justin Cordle, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2926 Sherwood Way Ste 100, San Angelo, TX 76901 Phone: 325-208-4842 |