Dallas Physical Performance Center in Dallas - Chiropractor
Dallas Physical Performance Center - NPI 1013014901
Dallas Physical Performance Center is a Chiropractor in Dallas, Texas. Dallas Physical Performance Center practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Dallas Physical Performance Center is 1013014901. The last update date is 2020-08-22.
Dallas Physical Performance Center's current location address is 1108 Bally Mote Dr, Dallas, Texas. You can contact this provider via phone number 2142201217 and fax number 2142201196. The mailing address for Dallas Physical Performance Center is 1108 Bally Mote Dr, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dallas Physical Performance Center |
|---|---|
| Address | 1108 Bally Mote Dr, Dallas, Texas |
| Phone Number | 2142201217 |
| Fax Number | 2142201196 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Aspra Tia |
| Telephone Number | 8302384112 |
NPI Number Detail
| NPI Number | 1013014901 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1108 Bally Mote Dr |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752183904 |
| Phone Number | 2142201217 |
| Fax Number | 2142201196 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2777 |
|
Definition: 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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0082NC | TX | BCBS TEXAS GROUP |
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What is the unique 10-digit identification code issued to Dallas Physical Performance Center by the Centers for Medicare & Medicaid Services?
The Dallas Physical Performance Center has been assigned the NPI (National Provider Identifier) 1013014901 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Dallas Physical Performance Center's physical address?
The Dallas Physical Performance Center is physically located at 1108 Bally Mote Dr, in the city of Dallas, TX, with the postal code 752183904.
What is Dallas Physical Performance Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dallas Physical Performance Center is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Dallas Physical Performance Center receive its 1013014901 assignment from the Centers for Medicare & Medicaid Services?
The Dallas Physical Performance Center was assigned its 1013014901 by the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the information pertaining to Dallas Physical Performance Center most recently updated or revised?
The details related to Dallas Physical Performance Center, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.