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Organization
SPRING VALLEY REHAB
Active
Organization
SPRING VALLEY REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LUCAS (OFFICE MANAGER)
(512) 745-2050
Entity
Organization
Contact information
Practice address
2728 MCKINNON ST, 1506, DALLAS, TX 75201-1602
(512) 745-2050
Mailing address
2728 MCKINNON ST, 1506, DALLAS, TX 75201-1602
(512) 745-2050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10422
TX
111NR0400X
Rehabilitation Chiropractor
10422
TX
111NX0800X
Orthopedic Chiropractor
10422
TX
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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