Organization
GREENHEAD DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MACKIE DAWAYNE GOURLEY JR. DC (OWNER)
(214) 680-9146
Entity
Organization
Contact information
Practice address
637 MERLOT CT, FAIRVIEW, TX 75069-1521
(214) 383-9622
Mailing address
3245 MAIN ST, SUITE 235-157, FRISCO, TX 75034-4411
(214) 383-9622
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12359
TX
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us