Amanda Delane Glass (NPI# 1104327030, PAC ID# 6507127529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1104327030 |
| PAC ID by PECOS | 6507127529 |
| Professional Enrollment ID | I20180307001416 |
| Full Name | Amanda Delane Glass |
| Organization Legal Name | CR FUNCTIONAL HEALTH CENTERS LLC |
| Address |
1518 Legacy Dr Suite 280 Frisco TX 75034-6042 |
| Phone Number | 9725870577 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 2961775929 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1518 Legacy Dr, Suite 280, Frisco, TX 75034-6042 | 9725870577 | CR FUNCTIONAL HEALTH CENTERS LLC |
| Organization Legal Name | CR FUNCTIONAL HEALTH CENTERS LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey Fultz | Chiropractic | Cr Functional Health Centers LLC | 1518 Legacy Dr, Suite 280, Frisco, TX 75034-6042 |
| Street Address |
1518 LEGACY DR SUITE 280 |
| City | FRISCO |
| State | TX |
| Zip | 75034-6042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy L Morton | General Surgery | North Texas Vascular and Varicose | 1518 Legacy Dr, Suite 120, Frisco, TX 75034-6039 |
| Mark A Mcquaid | General Surgery | North Texas Vascular and Varicose | 1518 Legacy Dr, Suite 120, Frisco, TX 75034-6039 |
| John A Skiendzielewski | Emergency Medicine | North Texas Vascular and Varicose | 1518 Legacy Dr, Suite 120, Frisco, TX 75034-6039 |
| Lindsey Fultz | Chiropractic | Cr Functional Health Centers LLC | 1518 Legacy Dr, Suite 280, Frisco, TX 75034-6042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vicki A Blackmon-davis | Internal Medicine | 8680 E Main St, Suite 1w, Frisco, TX 75034 | |
| Gina Rivas | Physician Assistant | Hip and Joint Specialists of North Texas Pllc | 255 W Lebanon Rd, Suite 132, Frisco, TX 75034 |
| Martha R Alkire | Nurse Practitioner | Hip and Joint Specialists of North Texas Pllc | 255 W Lebanon Rd, Suite 132, Frisco, TX 75034 |
| Jeanne Hatcher Curtis | Psychologist, Clinical | 5850 Town and Country Blvd, Suite 1001, Frisco, TX 75034-0304 | |
| Randy Niblett | Diagnostic Radiology | Imaging Associates of Indiana PC | 6761 Pecan Chase Ln, Frisco, TX 75034-0726 |
| Richard A Sylvester | Optometry | 4300 Legacy Dr, Suite 105, Frisco, TX 75034-0800 | |
| Mee Ok Kim | Nurse Practitioner | 4112 Legacy Dr, Suite 326, Frisco, TX 75034-0811 | |
| Theodore Maltezos | Chiropractic | 4851 Legacy Dr, Suite 307, Frisco, TX 75034-0853 | |
| Samuel Lewis | Nuclear Medicine | Samuel Lewis Md Pa | 11335 Altamont Dr, Frisco, TX 75034-1182 |
| Beverly B Johnson | Physician Assistant | Kathryn J. Wood, M.d., Pa | 3550 Parkwood Blvd, Suite 205, Frisco, TX 75034-1904 |
| Find all physicians in zip 75034 | |||
| City | FRISCO |
| Zip Code | 75034 |
| Specialty | CHIROPRACTIC |
| City + Specialty | FRISCO + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.