Dr. Doug Pendergrass is a Flora Vista, New Mexico based chiropractor who is specialized as General Chiropractic. Active license number of Dr. Doug Pendergrass as General Chiropractic is 1679 in New Mexico. Dr. Doug Pendergrass is qualified as 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.
Complete Profile:
Dr. Doug Pendergrass speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
General Chiropractic
Credentials:
D.C.
Gender:
Male
Practice Address:
12 Road 3540, Flora Vista, New Mexico, 87415-9601
Phone:
505-860-0862
Fax:
505-860-0862
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1902942352
NPI Enumeration Date:
30 Jan, 2007
NPI Last Update On:
30 Dec, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Doug Pendergrass are as mentioned below.
License Number
Specialization
State
Status
1679
Chiropractor
New Mexico
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Doug Pendergrass such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8X8022
Other
Texas
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
12 Road 3540, Flora Vista, New Mexico
Zip:
87415-9601
Phone Number:
505-860-0862
Fax Number:
505-860-0862
Patients can reach Dr. Doug Pendergrass at 12 Road 3540, Flora Vista, New Mexico or can call to book an appointment on 505-860-0862. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.