| |
2540 E Arkansas Ln, 100, Arlington, TX 76014-1768 | |
(817) 804-0080 | |
(817) 804-0055 |
Full Name | |
---|---|
Type | Facility |
Speciality | Rehabilitation Practitioner |
Location | 2540 E Arkansas Ln, Arlington, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811107717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | 8625 (Texas) | Primary |
225400000X | Rehabilitation Practitioner | 8625 (Texas) | Primary |
Mailing Address | Practice Location Address |
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2540 E Arkansas Ln, 100, Arlington, TX 76014-1768 Ph: (817) 804-0080 | 2540 E Arkansas Ln, 100, Arlington, TX 76014-1768 Ph: (817) 804-0080 |