Organization
DALLAS PHYSICAL PERFORMANCE CENTER
Active
Other names
DPPC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIA ASPRA (CREDENTIALING)
(830) 238-4112
Entity
Organization
Contact information
Practice address
601 N AKARD ST, 4TH FLOOR, DALLAS, TX 75201-3303
(214) 220-1217
(214) 220-1196
Mailing address
1108 BALLY MOTE DR, DALLAS, TX 75218-3904
(214) 220-1217
(214) 220-1196
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082NC
BCBS TEXAS GROUP
TX
Enumeration date
09/20/2006
Last updated
08/22/2020
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