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Organization
ELITE HEALTHCARE SOUTH DALLAS
Active
Organization
ELITE HEALTHCARE SOUTH DALLAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEN LEE WHISLER-PARVIN (COLLECTIONS COORD.)
(972) 417-9922
Entity
Organization
Contact information
Practice address
4305 PINNACLE POINT DR., # 301, DALLAS, TX 75211
(214) 337-2100
(214) 337-2108
Mailing address
PO BOX 1752, FRISCO, TX 75034
(972) 417-9922
(972) 417-9605
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
DC8314
TX
111NR0400X
Rehabilitation Chiropractor
DC9745
TX
261QP2000X
Physical Therapy Clinic/Center
PT1107050
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
DC8314
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
DC9745
TX
Other
Enumeration date
01/31/2014
Last updated
08/14/2015
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