MEDICARE: PERSISTENT HEALTH PA

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
1	111N00000X	Chiropractor	9028	TX

General Provider Information

NPI Number	:	1255662029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSISTENT HEALTH PA

Provider Business Mailing Address
First Line	:	4110 FM 407 STE 200
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75077-7269
Country	:	US
Telephone Number	:	940-455-2122
Fax Number	:	940-455-7359

Provider Business Practice Location Address
First Line	:	4110 FM 407 STE 200
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75077-7269
Country	:	US
Telephone Number	:	940-455-2122
Fax Number	:	940-455-7359

Authorized Official
Title or Position	:	CHIROPRACTOR/OWNER
Name	:	JURE MARENIC
Credential	:	DC
Telephone Number	:	940-455-2122

Provider Enumeration Date	:	01/19/2010
Last Update Date	:	01/19/2010

Similar Medicare Providers

1437180684 — DR. JURE MARENIC DOCTOR OR CHIROPRACT
Practice Location Address:

4110 FM 407 , SUITE 200
LEWISVILLE, TX
75077-7269

Practice Phone: 940-455-2122
Practice Fax: 940-455-7359

1982614756 — DR. ROTHWELL CARROLL MONTGOMERY II D.C.
Practice Location Address:

4110 FM 407 , 200
LEWISVILLE, TX
75077-7269

Practice Phone: 940-455-2122
Practice Fax: 940-455-7359

1326315136 — LANTANA FAMILY DENTISTRY, PA
Practice Location Address:

4110 FM 407 , SUITE 150
LEWISVILLE, TX
75077-7269

Practice Phone: 940-455-7004
Practice Fax: 940-455-7064

1639517410 — INTEGRATED MEDICAL PRACTICE
Practice Location Address:

4110 FM 407 , SUITE 200
LEWISVILLE, TX
75077-7269

Practice Phone: 940-455-2336
Practice Fax: 940-455-7359

1306705629 — ISIS WILLIAMS
Practice Location Address:

2035 TARTAN TRL
LEWISVILLE, TX
75077-3151

Practice Phone: 214-604-3814
Practice Fax:

1700848025 — DR. ROBERT THOMAS NEAL MD
Practice Location Address:

335 SCENIC DR
LEWISVILLE, TX
75077

Practice Phone: 972-679-7735
Practice Fax:

Directions to “PERSISTENT HEALTH PA ” Practice Location

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