Chelsie Lee Flores, D.C.
Individual provider Active NPI Chiropractor · Whitehouse, TX
NPI 1770873283 · NPPES record last updated Sep 10, 2015
Key facts
- NPI
- 1770873283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 11312 (TX)
- Practice address
- 403 State Highway 110 N
Whitehouse, TX 75791-3109 - Phone
- (903) 839-1000
- Fax
- (903) 839-4000
- NPI assigned
- Apr 18, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13027 State Hwy 155 S
Tyler, TX 75703-6548
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11312 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carefirst Medical Associates and Pain Rehabilitation, PA | Current |
Accepting new patients |
Locations
13027 State Highway 155 S
Tyler, TX 75703
Phone (903) 839-1000
403 State Highway 110 N
Whitehouse, TX 75791
Phone (903) 202-7002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11312 | TX | Yes |
Addresses
Primary practice location
403 State Highway 110 N
Whitehouse, TX 75791-3109
Mailing address
403 State Highway 110 N
Whitehouse, TX 75791-3109
Phone (903) 839-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CF1132179 | Other | TX | AMERICAN SPECIALTY HEALTH-CIGNA |
| 1881972727 | Other | TX | BCBS |
| 8V0494 | Other | TX | BCBS |
| 3470262-01 | Medicaid | TX |
Other names
- Chelsie Lee Fettig
Other providers in Whitehouse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.