| Rowland Chiropractic Clinic, Pc | |
|
3952 E 42nd St Ste J Odessa TX 79762-5932 | |
| (432) 617-4564 | |
| (462) 617-4565 |
| Full Name | Rowland Chiropractic Clinic, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3952 E 42nd St, Odessa, Texas |
| Authorized Official Name and Position | Edward Rowland (PRESIDENT) |
| Authorized Official Contact | 4326174564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rowland Chiropractic Clinic, Pc 3952 E 42nd St Ste J Odessa TX 79762-5932 Ph: (432) 617-4564 | Rowland Chiropractic Clinic, Pc 3952 E 42nd St Ste J Odessa TX 79762-5932 Ph: (432) 617-4564 |
| NPI Number | 1124408414 |
|---|---|
| Provider Enumeration Date | 06/02/2015 |
| Last Update Date | 08/11/2015 |
| Medicare PECOS PAC ID | 5890004188 |
|---|---|
| Medicare Enrollment ID | O20151028001087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124408414 | NPI | - | NPPES |
| TXB155029 | Other | TX | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 8532 (Texas) | Primary |
| Provider Name | Edward Carroll Rowland |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518028190 PECOS PAC ID: 6608772603 Enrollment ID: I20031210000638 |
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