Look up the most recent NPI and PECOS records

Pamela A Tackett

Chiropractor

Chiropractic Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Pamela A Tackett does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1033293808
Provider Type
Individual
Full Name
Tackett, Pamela A
Title
Dr.
Credential
DC

Gender
Female
Sole Proprietor
No
Enumeration Date
10/25/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1367 E College St, Seguin, TX 78155

(830) 379-2944

(830) 303-2944

Mailing Location

PO Box 1567, 1367 E College St, Seguin, TX 78155

(830) 379-2944

(830) 303-2944

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License DC4350 Texas

Provider Identifiers

ID	Description	Issuer
ID 152916601	Description Medicaid	Issuer Unlisted Texas

Pamela A Tackett

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Wooten, Kellie Raye

Pecan Country Chiropractic, Llc

Moring-Reuter, Carole Anne

Dr Pamela A Tackett Dc Pc

Long, John L.

Frisbie, Terry K

Healing Hands Chiropractic Llc

Wells, Jacee Ann

Scaramozi, Dominic A

Steinbrenner, Christine Lynn