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Organization
SPORTS HEALTHCARE CENTERS, INC.
Active
Organization
SPORTS HEALTHCARE CENTERS, INC.
Active
Other names
dba North Texas Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DALE ROTH RODGERS (PRESIDENT)
(940) 627-7532
Entity
Organization
Contact information
Practice address
2800 S FM 51, STE B, DECATUR, TX 76234-4002
(940) 627-7532
(940) 627-7547
Mailing address
PO BOX 1267, DECATUR, TX 76234-4002
(940) 627-7532
(940) 627-7547
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
615540000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217143-01
—
TX
Enumeration date
10/03/2006
Last updated
07/06/2012
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