| Greater Southwest Injury & Rehab Inc. | |
|
2304 Bardin Rd Suite 201 Grand Prairie TX 75052-3850 | |
| (972) 522-1511 | |
| (972) 522-1510 |
| Full Name | Greater Southwest Injury & Rehab Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 2304 Bardin Rd, Grand Prairie, Texas |
| Authorized Official Name and Position | Nicole Phuong Tran (PRESIDENT) |
| Authorized Official Contact | 9725221511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Southwest Injury & Rehab Inc. 2304 Bardin Rd Suite 201 Grand Prairie TX 75052-3850 Ph: (972) 522-1511 | Greater Southwest Injury & Rehab Inc. 2304 Bardin Rd Suite 201 Grand Prairie TX 75052-3850 Ph: (972) 522-1511 |
| NPI Number | 1518151422 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 09/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518151422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | F007414 (Texas) | Primary |
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