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Organization
PREMIER REHABILITATION AND PAIN MANAGEMENT
Active
Organization
PREMIER REHABILITATION AND PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARCY E BRUNK D.C. (TREATING DOCTOR)
(972) 303-0683
Entity
Organization
Contact information
Practice address
1606 WYNN JOYCE RD, GARLAND, TX 75043-3266
(972) 303-0683
Mailing address
1606 WYNN JOYCE RD, GARLAND, TX 75043-3266
(972) 303-0683
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6969
STATE LICENSE
TX
01
—
8AA260
BCBS
TX
Enumeration date
07/11/2007
Last updated
01/24/2008
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