| Terrell Chiropractic And Wellness Center, Inc | |
|
1409 W Moore Ave Terrell TX 75160-2303 | |
| (972) 563-1557 | |
| Not Available |
| Full Name | Terrell Chiropractic And Wellness Center, Inc |
|---|---|
| Speciality | Chiropractor |
| Location | 1409 W Moore Ave, Terrell, Texas |
| Authorized Official Name and Position | Corina Mcclary Wild (CIROPRACTOR/OWNER) |
| Authorized Official Contact | 2147890549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrell Chiropractic And Wellness Center, Inc 1409 W Moore Ave Terrell TX 75160-2303 Ph: (972) 563-1557 | Terrell Chiropractic And Wellness Center, Inc 1409 W Moore Ave Terrell TX 75160-2303 Ph: (972) 563-1557 |
| NPI Number | 1841765773 |
|---|---|
| Provider Enumeration Date | 10/08/2018 |
| Last Update Date | 10/08/2018 |
| Medicare PECOS PAC ID | 4284970286 |
|---|---|
| Medicare Enrollment ID | O20190111002578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841765773 | NPI | - | NPPES |
| 1982187381 | Other | TX | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Corina Mcclary Wild |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982187381 PECOS PAC ID: 5193061190 Enrollment ID: I20190111002610 |
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