Organization
ELEVATION HEALTH NORTH RICHLAND
Active
Parent organization
HEXAGON HEALTH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEXAGON HEALTH, LLC
Authorized official
JIMMY LABRECQUE DC (COO)
(817) 577-6061
Entity
Organization
Contact information
Practice address
7948 DAVIS BLVD STE 200, NORTH RICHLAND HILLS, TX 76182-6954
(817) 697-2560
Mailing address
7948 DAVIS BLVD STE 200, NORTH RICHLAND HILLS, TX 76182-6954
(817) 697-2560
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00196T
MEDICARE PTAN
TX
Enumeration date
05/08/2013
Last updated
05/28/2014
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