| Wccw Crockett, Llc | |
|
2200 N 4th St, Crockett, TX 75835-5337 | |
| (936) 546-0070 | |
| Not Available |
| Full Name | Wccw Crockett, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2200 N 4th St, Crockett, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881256170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wccw Crockett, Llc 21721 Pagosa Ranch Rd, Bullard, TX 75757-4109 Ph: (903) 948-0845 | Wccw Crockett, Llc 2200 N 4th St, Crockett, TX 75835-5337 Ph: (936) 546-0070 |
T Wayne Mask, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 305 S 5th St, Crockett, TX 75835 Phone: 936-544-2225 Fax: 936-544-2259 | |
Dr. Bradley Val White, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 403 S 5th St, Crockett, TX 75835 Phone: 936-545-9355 |