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Organization
REVIVE INJURY AND REHAB
Active
Organization
REVIVE INJURY AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DJORN BAIN DC (DOCTOR OF CHIROPRACTIC)
(817) 642-5032
Entity
Organization
Contact information
Practice address
2313 W ARKANSAS LN STE 102, PANTEGO, TX 76013-6034
(817) 642-5032
Mailing address
2313 W ARKANSAS LN STE 102, PANTEGO, TX 76013-6034
(817) 642-5032
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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