Procedural Office Operation Professionals LLC
Organization Active NPI Chiropractor · Mt Pleasant, TX
NPI 1851421366 · NPPES record last updated Aug 9, 2007
Key facts
- NPI
- 1851421366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- PROCEDURAL OFFICE OPERATION PROFESSIONALS LLC
- Practice address
- 2320 Harts Bluff Rd
Ste, C
Mt Pleasant, TX 75455-7453 - Phone
- (903) 572-3399
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Edward Chestley Ledbetter, DC
- Title
- Owner
- Phone
- (903) 845-8445
Practitioners 5
-
Robin Leigh Stephenson, D.C.
-
Cody Alan Carter, D.C.
-
Victor D Kennel, PT
-
Rene Vest, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070830000241 | TX | Part B Supplier - Clinic/Group Practice | 2769575158 |
Receives reassigned benefits from 1 practitioner Practice locations: Longview, TX |
National Provider Directory
Locations
2828 Bill Owens Pkwy
#A
Longview, TX 75605
Phone (903) 236-2900
2320 Harts Bluff Rd
Ste C
Mt Pleasant, TX 75455
Phone (903) 572-3399
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes | ||
| Physical Therapist |
225100000X |
Addresses
Primary practice location
2320 Harts Bluff Rd
Ste, C
Mt Pleasant, TX 75455-7453
Mailing address
404 W Upshur Ave
Gladewater, TX 75647-2124
Other providers in Mt Pleasant, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 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.