Organization
EBERLE-REAGAN, INC
Active
Other names
Reagan ChiroSport Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLE CATHERINE REAGAN DC (OWNER/CHIROPRACTOR)
(972) 503-7272
Entity
Organization
Contact information
Practice address
7951 COLLIN MCKINNEY PKWY, STE 1500, MCKINNEY, TX 75070-7823
(972) 398-6419
Mailing address
13396 PRESTON RD, DALLAS, TX 75240-5208
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
9065
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016QU
BLUE CROSS BLUE SHIELD GROUP ID
TX
Enumeration date
07/14/2014
Last updated
07/14/2014
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