| Jeff Eidsvig D.c., Pllc | |
|
5944 W Parker Rd 400 Plano TX 75093-6421 | |
| (972) 309-2021 | |
| (972) 309-2023 |
| Full Name | Jeff Eidsvig D.c., Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 5944 W Parker Rd, Plano, Texas |
| Authorized Official Name and Position | Jeff C Eidsvig (OWNER) |
| Authorized Official Contact | 9723092021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff Eidsvig D.c., Pllc 5944 W Parker Rd #400 Plano TX 75093-6421 Ph: (972) 309-2021 | Jeff Eidsvig D.c., Pllc 5944 W Parker Rd 400 Plano TX 75093-6421 Ph: (972) 309-2021 |
| NPI Number | 1518149111 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 10/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518149111 | NPI | - | NPPES |
| 0088RA | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10334 (Texas) | Primary |
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