| Align Health Pllc | |
|
1025 S Main St Ste 305 Grapevine TX 76051-7506 | |
| (817) 251-0550 | |
| (817) 251-0599 |
| Full Name | Align Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1025 S Main St Ste 305, Grapevine, Texas |
| Authorized Official Name and Position | Jerrylee Otimeye Ejuwa (OWNER) |
| Authorized Official Contact | 8172510550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Align Health Pllc 1025 S Main St Ste 305 Grapevine TX 76051-7506 Ph: (817) 251-0550 | Align Health Pllc 1025 S Main St Ste 305 Grapevine TX 76051-7506 Ph: (817) 251-0550 |
| NPI Number | 1316489156 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 06/30/2020 |
| Medicare PECOS PAC ID | 6103100250 |
|---|---|
| Medicare Enrollment ID | O20170309000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316489156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| Provider Name | Jerrylee O Ejuwa |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295007326 PECOS PAC ID: 4183889660 Enrollment ID: I20120709000054 |
| Provider Name | Jason A Kouri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649276965 PECOS PAC ID: 8820036395 Enrollment ID: I20130222000207 |
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