Organization
HOMETOWN CHIROPRACTIC, PLLC
Active
Other names
Hometown Chiropractic and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS MARCIAL D.C. (CHIROPRACTOR)
(972) 875-8676
Entity
Organization
Contact information
Practice address
2200 W ENNIS AVE, SUITE A, ENNIS, TX 75119-8054
(972) 875-8600
(972) 875-8481
Mailing address
2200 W ENNIS AVE, SUITE A, ENNIS, TX 75119-8054
(972) 875-8676
(972) 875-8481
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186463901
—
TX
01
—
608125
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
POO389949
RAIL ROAD MEDICARE
TX
Enumeration date
11/05/2009
Last updated
10/12/2014
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