Lake Granbury Chiropractic Center
NPI 1720122807ActiveOrganization· Chiropractor· Granbury, TX
Chiropractor in Granbury, Texas, registered in NPPES in February 2007. The authorized official on file is Monte Wayne Hudson, D.C., Chiropractor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720122807 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2007 |
| Last updated in NPPES | Jan 29, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 4673 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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