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Mr. Johnny Allen Colegrove, DC
Chiropractor in Mineola, Texas
NPI 1902999113

Johnny Allen Colegrove is a Chiropractor based in Mineola, TX. Johnny Allen Colegrove practices in Mineola, TX and has the professional credentials of DC. The NPI Number for Johnny Allen Colegrove is 1902999113 and holds a License No. 4217 (Texas).

The current practice location address for Johnny Allen Colegrove is 1044 N Pacific, Mineola, TX and can be reached out via phone at 903-569-6261 and via fax at 903-569-1792.

Location: 1044 N Pacific, Mineola, TX, 75773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902999113
Provider Name
Johnny Allen Colegrove
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1044 N Pacific, Mineola, TX, 75773
Phone Number
903-569-6261
Fax Number
903-569-1792
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5676121 01 TX AETNA
001341901 05 TX
601744 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
1044 N Pacific
City
Mineola
State
Texas
Zip
75773
Phone Number
903-569-6261
Fax Number
903-569-1792
person
Provider Business Mailing Address Details
Address
1044 N Pacific
City
Mineola
State
Texas
Zip
75773
Phone Number
903-569-6261
Fax Number
903-569-1792
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4217 (Texas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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