| T-spine Chiropractic And Rehabilitation Llc | |
|
1018 E Goode St Ste 102 Quitman TX 75783-2563 | |
| (903) 866-6505 | |
| (903) 763-2550 |
| Full Name | T-spine Chiropractic And Rehabilitation Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 1018 E Goode St Ste 102, Quitman, Texas |
| Authorized Official Name and Position | Rowdy Teaff (CO-OWNER) |
| Authorized Official Contact | 9038666505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T-spine Chiropractic And Rehabilitation Llc 1018 E Goode St Ste 102 Quitman TX 75783-2563 Ph: (903) 866-6505 | T-spine Chiropractic And Rehabilitation Llc 1018 E Goode St Ste 102 Quitman TX 75783-2563 Ph: (903) 866-6505 |
| NPI Number | 1710766167 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 01/12/2024 |
| Medicare PECOS PAC ID | 0941659601 |
|---|---|
| Medicare Enrollment ID | O20231207001086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710766167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Brianna Nicole Teaff |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386421782 PECOS PAC ID: 7113376872 Enrollment ID: I20231220001605 |
| Provider Name | Rowdy Scott Teaff |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841078284 PECOS PAC ID: 9931558699 Enrollment ID: I20231220002403 |
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