Central TX Chiropractic & Rehabilitation Clinics, Inc
Organization Active NPI Rehabilitation Chiropractor · Kingsland, TX
NPI 1487865820 · NPPES record last updated Oct 16, 2007
Key facts
- NPI
- 1487865820
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Chiropractor 111NR0400X
- License
- 8479 (TX)
- Legal business name
- CENTRAL TX CHIROPRACTIC & REHABILITATION CLINICS, INC
- Practice address
- 1333 W. Hwy 1431
Kingsland, TX 78639 - Phone
- (325) 388-2969
- Fax
- (325) 388-2790
- NPI assigned
- May 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Shawn Ray Scott, D.C.
- Title
- President
- Phone
- (325) 388-2969
Practitioners 1
-
Shawn Ray Scott, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040603000812 | TX | Part B Supplier - Clinic/Group Practice | 9335121359 |
Receives reassigned benefits from 1 practitioner Practice locations: Kingsland, TX |
National Provider Directory
Locations
1333 Highway 1431
Kingsland, TX 78639
Phone (325) 388-2969
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor |
111NR0400X | 8479 | TX | Yes |
Addresses
Primary practice location
1333 W. Hwy 1431
Kingsland, TX 78639
Mailing address
PO Box 1231
Kingsland, TX 78639-1231
Phone (325) 388-2969
Other providers in Kingsland, TX
- Ryan P Allen
- Ascension Seton
- Holly Beats
- Taylor Ann Brooks
- Central Texas Family Dentistry PC
- Concho County Hospital
- Adrienne Van Erp Cowan
- Russell C Cowan
- Christina Susan Deloach
- James P Donohue
All providers in Kingsland, TX · Rehabilitation Chiropractor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 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.