Angleton Chiropractic & Rehab, PLLC
Organization Active NPI Chiropractor · Angleton, TX
NPI 1013116359 · NPPES record last updated Jul 17, 2007
Key facts
- NPI
- 1013116359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 9191 (TX)
- Legal business name
- ANGLETON CHIROPRACTIC & REHAB, PLLC
- Practice address
- 1124 N Velasco St Ste E
Angleton, TX 77515-3161 - Phone
- (979) 849-8900
- Fax
- (979) 849-9995
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Christian Spencer Pangan, D.C.
- Title
- Owner/President
- Phone
- (979) 849-8900
Practitioners 8
-
David Allan Cervenka, D.C.
-
Amanda J Campbell, D.C.
-
Nicole Michelle Hewitt, D.C.
-
Jesus Marcial, DC
-
Natasha Mazaheri, D.C.
-
Andres A. Perez, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040623001406 | TX | Part B Supplier - Clinic/Group Practice | 9830174739 |
Receives reassigned benefits from 2 practitioners Practice locations: Angleton, TX |
National Provider Directory
Locations
1124 N Velasco St
Ste E
Angleton, TX 77515
Phone (979) 849-8900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 9191 | TX | Yes |
Addresses
Primary practice location
1124 N Velasco St Ste E
Angleton, TX 77515-3161
Mailing address
1124 N Velasco St Ste E
Angleton, TX 77515-3161
Phone (979) 849-8900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8M2190 | Other | TX | BLUE CROSS BLUE SHIELD |
Other providers in Angleton, TX
- All Care Health
- America'S Best Medical Transport, LLC
- Cynthia O Anene
- Angleton Anesthesia Management Services LLC
- Angleton Area Emergency Medical Corps Inc
- Angleton Danbury Hospital District
- Angleton Danbury Hospital District
- Angleton Danbury Hospital District
- Angleton ER PLLC
- Angleton Family Dental PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.