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Organization
TEXAS SPINE AND SPORTS REHAB CLINIC LLC
Active
Organization
TEXAS SPINE AND SPORTS REHAB CLINIC LLC
Active
Parent organization
TEXAS SPINE AND SPORTS REHAB
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXAS SPINE AND SPORTS REHAB
Authorized official
ALFREDO J VAZQUEZ DC (OWNER DOCTOR)
(832) 647-0761
Entity
Organization
Contact information
Practice address
305 FM 517 RD E, STE F, DICKINSON, TX 77539
(832) 647-0761
(281) 282-9711
Mailing address
2925 GULF HWY 3, STE B #347, LEAGUE CITY, TX 77573
(832) 647-0761
(281) 282-9711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10532
TX
111NR0400X
Rehabilitation Chiropractor
10532
TX
111NS0005X
Sports Physician Chiropractor
10532
TX
111NX0100X
Occupational Health Chiropractor
10532
TX
Other
Enumeration date
05/04/2007
Last updated
04/30/2008
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