Core Activated Rehab 2 Llc

NPI 1104191709 - Chiropractor - 111N00000X

NPI Details
NPI 1104191709
Enumeration Date 03/14/2012
Last Updated 03/14/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JASON JASON
Position PARTNER
Phone (985) 173-1173
Fax
Practice Location
1800 EAST HIGHWAY 114
SUITE 101
SOUTHLAKE TX, 76090, US
Phone (985) 173-1173
Fax
Business Location
1800 EAST HIGHWAY 114
SUITE 101
SOUTHLAKE TX, 76090, US
Phone (985) 173-1173
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Texas
License Number 11687
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According to our database, Core Activated Rehab 2 Llc NPI is 1104191709, taxonomy code is 111N00000X and license number is 11687, license state is located at Texas. Core Activated Rehab 2 Llc physically located at 1800 East Highway 114, Southlake TX, 76090. NPI Number 1033115704 has the healthcare provider type.

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1104191709 NPI number is provided on an as is basis without warranty of any kind. 1104191709 is maintained by the National Plan & Provider Enumeration System. The contents of Core Activated Rehab 2 Llc are for informational purposes only.