Dallas Physical Performance Center

NPI 1013014901 - Chiropractor - 111N00000X

NPI Details
NPI 1013014901
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TIA TIA
Position CREDENTIALING
Phone (214) 220-1217
Fax (214) 220-1196
Practice Location
601 N AKARD ST
4TH FLOOR
DALLAS TX, 75201-3303, US
Phone (214) 220-1217
Fax (214) 220-1196
Business Location
1108 BALLY MOTE DR
DALLAS TX, 75218-3904, US
Phone (214) 220-1217
Fax (214) 220-1196
Toxanomy
Taxonomy Code 111N00000X
License State Texas
License Number 2777
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According to our database, Dallas Physical Performance Center NPI is 1013014901, taxonomy code is 111N00000X and license number is 2777, license state is located at Texas. Dallas Physical Performance Center physically located at 601 N Akard St, Dallas TX, 75201-3303. NPI Number 1033115704 has the healthcare provider type.

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1013014901 NPI number is provided on an as is basis without warranty of any kind. 1013014901 is maintained by the National Plan & Provider Enumeration System. The contents of Dallas Physical Performance Center are for informational purposes only.