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Organization
RED OAK PHYSICAL MEDICINE CLINIC PLLC
Active
Organization
RED OAK PHYSICAL MEDICINE CLINIC PLLC
Active
Other names
Red Oak Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA ROSS D.C. (OWNER)
(972) 576-5501
Entity
Organization
Contact information
Practice address
307 E OVILLA RD, SUITE 100, RED OAK, TX 75154-3833
(972) 576-5501
(972) 576-5654
Mailing address
307 E OVILLA RD, SUITE 100, RED OAK, TX 75154-3833
(972) 576-5501
(972) 576-5654
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077PG
BCBS GROUP #
TX
01
—
1255362554
BCBS - HOLLANDER NPI
TX
01
—
1477544963
BCBS - ZUBER - NPI
TX
01
—
1881873339
DR. BRENDA - NPI
TX
Enumeration date
04/13/2007
Last updated
06/21/2017
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