# DALLAS SPINAL REHABILITATION CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245248889
- **Authorized official:** DR. C E MCCOY (CHAIRMAN OF THE BOARD OWNER)
- **Authorized official phone:** (214) 905-9555

## Contact information

- **Practice address:** 6161 HARRY HINES BLVD, SUITE 105, DALLAS, TX 75235-5387
- **Practice address phone:** (214) 905-9555
- **Practice address fax:** (214) 905-9556
- **Mailing address:** 6161 HARRY HINES BLVD, SUITE 105, DALLAS, TX 75235-5387
- **Mailing address phone:** (214) 905-9555
- **Mailing address fax:** (214) 905-9556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | TX | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 07/19/2007