DR WALTER J MELLGREN JR DC PA (NPI# 1154467934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154467934 |
| Entity Type | Organization |
| Organization Name | DR WALTER J MELLGREN JR DC PA |
| Other Organization Name | MELLGREN CHIROPRACTIC CLINIC |
| Practice Address |
109 N Regan St West TX 76691 |
| Mailing Address |
Po Box 475 109 N Regan St West TX 76691 |
| Practice Telephone | 2548263737 |
| Practice Fax Number | 2548263769 |
| Mailing Telephone | 2548263737 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | DR. WALTER JEAN MELLGREN JR. (OWNER DR OF CHIROPRACTIC) |
| Authorized Official Telephone | 2548263737 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUESHIELD OF TEXAS | 00L71L | 01 |
| Other Name | Type Code |
|---|---|
| Mellgren Chiropractic Clinic | Doing Business As Name - Organization |
| Street Address |
109 N REGAN ST |
| City | WEST |
| State | TX |
| Zip Code | 76691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243667 | Lauren Nicole Wernet | Specialist/Technologist | 305 Vardiman Rd, West, TX 76691 | 2017-09-05 |
| 1952433310 | P S Well-child Clinic | Family Medicine | 407 W Oak St., West, TX 76691 | 2007-03-12 |
| 1093878092 | West Station Enterprise Inc | Durable Medical Equipment & Medical Supplies | 1579 Tokio Rd, West, TX 76691 | 2006-12-19 |
| 1790897601 | Generation Rx Inc. | Durable Medical Equipment & Medical Supplies | 206 N Main St, West, TX 76691 | 2006-08-31 |
| 1962416487 | Billy Don Pierce | General Practice | 407 W Oak St, West, TX 76691 | 2006-07-28 |
| 1891727004 | Avery Kirk Wines | Pharmacist | 200 N Main, West, TX 76691 | 2006-07-07 |
| 1083725816 | Paula Ann Snokhous | Physician Assistant | 407 W Oak St, West, TX 76691 | 2006-08-31 |
| 1558469312 | Larry D Sparks | Dentist | 312 N Main, West, TX 76691-0369 | 2006-09-20 |
| 1386675262 | Walter Jean Mellgren Jr. | Chiropractor | 109 N Reagan St, West, TX 76691-0475 | 2006-07-06 |
| 1922037837 | Michael Aaron Mellgren | Chiropractor | 109 N Reagon, West, TX 76691-0475 | 2006-07-02 |
| Find all providers in zip 76691 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386675262 | Walter Jean Mellgren Jr. | Chiropractor | 109 N Reagan St, West, TX 76691-0475 | 2006-07-06 |
| 1922037837 | Michael Aaron Mellgren | Chiropractor | 109 N Reagon, West, TX 76691-0475 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1194326546 | Haydn Storey | Chiropractor | 1807 W Slaughter Ln Ste 450, Austin, TX 78748-6269 | 2020-11-03 |
| 1891395166 | Henry Pham | Chiropractor | 8900 Lakes At 610 Dr Apt 322, Houston, TX 77054-2881 | 2020-10-27 |
| 1922607118 | Michael Anthony Arroyo | Chiropractor | 2205 W Lincoln St, Harlingen, TX 78552-5921 | 2020-10-20 |
| 1003415126 | Return To Health LLC | Chiropractor | 4474 Spring Valley Rd, Farmers Branch, TX 75244-3703 | 2020-10-20 |
| 1124627286 | Kirsten Rene Parker | Chiropractor | 750 County Road 234 Bldg 1, Georgetown, TX 78633-4426 | 2020-10-20 |
| 1659970978 | Madison De Hoyos | Chiropractor | 930 Hilltop Dr Ste 102, Weatherford, TX 76086-5943 | 2020-10-19 |
| 1336748797 | Zachary James Foreman | Chiropractor | 7900 Fm 1826 Ste 100, Austin, TX 78737-1410 | 2020-10-18 |
| 1659979276 | Shawn Brown | Chiropractor | 9910 Huebner Rd Ste 150, San Antonio, TX 78240-1399 | 2020-10-15 |
| 1598363384 | Cody James Davis | Chiropractor | 4540 W Bailey Boswell Rd Ste 170, Fort Worth, TX 76179-4439 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.