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Organization
RSMOD PLLC
Active
Organization
RSMOD PLLC
Active
Other names
REAGAN SPORTS MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE C REAGAN DC (PROVIDER/OWNER)
(972) 503-7272
Entity
Organization
Contact information
Practice address
13396 PRESTON RD, DALLAS, TX 75240-5208
(972) 503-7272
(972) 851-7950
Mailing address
13396 PRESTON RD, DALLAS, TX 75240-5208
(972) 503-7272
(972) 851-7950
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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