| Chc Highland Village, Llc | |
|
2150 Justin Rd Ste 100 Highland Village TX 75077-7126 | |
| (469) 312-3317 | |
| (469) 312-3318 |
| Full Name | Chc Highland Village, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2150 Justin Rd Ste 100, Highland Village, Texas |
| Authorized Official Name and Position | Jeff Alexander (MANAGER) |
| Authorized Official Contact | 7199643284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chc Highland Village, Llc 2150 Justin Rd Ste 100 Highland Village TX 75077-7126 Ph: (469) 312-3317 | Chc Highland Village, Llc 2150 Justin Rd Ste 100 Highland Village TX 75077-7126 Ph: (469) 312-3317 |
| NPI Number | 1295211506 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 08/17/2020 |
| Medicare PECOS PAC ID | 1951726132 |
|---|---|
| Medicare Enrollment ID | O20200805000945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295211506 | NPI | - | NPPES |
| 13510 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Christopher Benitez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285150029 PECOS PAC ID: 3678849114 Enrollment ID: I20171027000533 |
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