Provider Demographics
NPI:1700926839
Name:MYERS, BRITTON ROSS (DC)
Entity type:Individual
Prefix:DR
First Name:BRITTON
Middle Name:ROSS
Last Name:MYERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 HEWITT DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-8490
Mailing Address - Country:US
Mailing Address - Phone:254-420-4669
Mailing Address - Fax:254-420-4670
Practice Address - Street 1:1221 HEWITT DR
Practice Address - Street 2:SUITE C
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-8490
Practice Address - Country:US
Practice Address - Phone:254-420-4669
Practice Address - Fax:254-420-4670
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9119111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX606341OtherBCBS
TX613366Medicare PIN
TX606341OtherBCBS