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NPI Code Detail

MEDICARE: EBERLE-REAGAN, INC

MEDICARE: EBERLE-REAGAN, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor10579TX
2111N00000XChiropractor12077TX
3111N00000XChiropractor11661TX
4225100000XPhysical Therapist1153020TX
5111NS0005XSports Physician Chiropractor9065TX

General Provider Information

NPI Number : 1194908210
Entity Type Code : Organization
Provider Name (Legal Business Name) : EBERLE-REAGAN, INC
Provider Business Mailing Address
First Line : 5524 WESTGROVE DR
Second Line :
City : DALLAS
State : TX
Zip : 75248-2031
Country : US
Telephone Number : 214-280-8763
Fax Number : 972-851-7950
Provider Business Practice Location Address
First Line : 13396 PRESTON RD
Second Line :
City : DALLAS
State : TX
Zip : 75240-5208
Country : US
Telephone Number : 214-280-8763
Fax Number : 972-851-7950
Authorized Official
Title or Position : OWNER/CHIROPRACTOR
Name : DR. CAMILLE CATHERINE REAGAN
Credential : DC
Telephone Number : 214-280-8763
Provider Enumeration Date : 12/12/2007
Last Update Date : 12/06/2012

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Directions to “EBERLE-REAGAN, INC ” Practice Location

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