Larry North Sports Medicine in Addison - Sports Physician
Larry North Sports Medicine - NPI 1508058751
Larry North Sports Medicine is a Sports Physician in Addison, Texas. Larry North Sports Medicine practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Larry North Sports Medicine is 1508058751. The last update date is 2007-08-13.
Larry North Sports Medicine's current location address is Po Box 1731, Addison, Texas. You can contact this provider via phone number 9724889686 and fax number 9722411936. The mailing address for Larry North Sports Medicine is Po Box 1731, Addison, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Larry North Sports Medicine |
|---|---|
| Address | Po Box 1731, Addison, Texas |
| Phone Number | 9724889686 |
| Fax Number | 9722411936 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Paredes Paula |
| Telephone Number | 9724889686 |
NPI Number Detail
| NPI Number | 1508058751 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2007-08-13 |
Provider Mailing Address Detail
| Address | Po Box 1731 |
|---|---|
| City | Addison |
| State | Texas (TX) |
| Post Code | 750011731 |
| Phone Number | 9724889686 |
| Fax Number | 9722411936 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 10069 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique 10-digit identifier code issued to Larry North Sports Medicine by the Centers for Medicare & Medicaid Services?
The Larry North Sports Medicine has been assigned the NPI (National Provider Identifier) 1508058751 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Larry North Sports Medicine is located?
The Larry North Sports Medicine is situated at the following address: Po Box 1731, Addison, TX, 750011731.
What is Larry North Sports Medicine's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Larry North Sports Medicine's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508058751 to Larry North Sports Medicine?
The Larry North Sports Medicine received its 1508058751 assignment from the Centers for Medicare & Medicaid Services on 2007-08-13.
When was the information pertaining to Larry North Sports Medicine most recently updated or revised?
The details related to Larry North Sports Medicine, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-13.
NPI Number: 1932102142
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