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RED OAK PHYSICAL MEDICINE CLINIC PLLC NPI 1649494261


NPI Information

NPI: 1649494261
Provider Name: RED OAK PHYSICAL MEDICINE CLINIC PLLC

Doing Business As: RED OAK CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
307 E OVILLA RD
SUITE 100
RED OAK, TX
ZIP 75154
Phone: (972) 576-5501
Get Directions

RED OAK PHYSICAL MEDICINE CLINIC PLLC is a chiropractor in Red Oak, TX. The provider is a provider qualified by 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. RED OAK PHYSICAL MEDICINE CLINIC PLLC NPI is 1649494261. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Red Oak Chiropractic.

The provider's business location address is:

307 E OVILLA RD
SUITE 100
RED OAK, TX
ZIP 75154-833
Phone: (972) 576-5501
Fax: (972) 576-5654

The provider's authorized official is Brenda Ross .
The authorized official title is Owner and has the following contact phone number (972) 576-5501.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 6/21/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10077PGOTHERTEXASBCBS GROUP #
21881873339OTHERTEXASDR. BRENDA - NPI
31477544963OTHERTEXASBCBS - ZUBER - NPI
41255362554OTHERTEXASBCBS - HOLLANDER NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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