NPI | 1386780336 |
---|---|
Doing Business As | INJURY 1 TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | NAT MANGUM CEO 469-688-6628 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: TX J1957) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 15980) |
101YP2500X Counselor, Professional (Licence: TX 20025) | |
101YP2500X Counselor, Professional (Licence: TX 17173) | |
103T00000X Psychologist (Licence: TX 21357) | |
225100000X Physical Therapist (Licence: TX 1030278) | |
225100000X Physical Therapist (Licence: TX 1014587) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2009-04-22 |