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Physician Compare National (NPI:1033622279)

HEALTHCARE PROVIDER: WESTON REESE KURTZ D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1033622279
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1355609843
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20171208002704
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KURTZ
Individual professional last name
Provider First Name WESTON
Individual professional first name
Provider Middle Name REESE
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2017
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name JH CHIROPRACTIC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 9133379621
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 3
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 5904 CHAPEL HILL BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 210
Group Practice or individual's line 2 address
City PLANO
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 750935909
Group Practice or individual's zip code (9 digits when available)
Phone Number 9726084411
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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