Jonathon Heath Reich, DC
Individual provider Active NPI Chiropractor · Cisco, TX
NPI 1962076646 · NPPES record last updated Aug 30, 2023
Key facts
- NPI
- 1962076646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 14705 (TX)
- Practice address
- 1498 I 20 W
Cisco, TX 76437-3672 - Phone
- (254) 442-7643
- NPI assigned
- May 17, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cisco Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
| Comprehensive Injury Treatment Services PLLC | Past | Accepting new patients |
Locations
1498 Interstate 20 W
Cisco, TX 76437
Phone (254) 442-7643
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14705 | TX | Yes |
Addresses
Primary practice location
1498 I 20 W
Cisco, TX 76437-3672
Mailing address
1700 Conrad Hilton Blvd
Cisco, TX 76437-4857
Phone (254) 784-3309
Other providers in Cisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.