Organization
FUNCTIONAL RECOVERY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM G MAYER M.D (PRESIDENT)
(214) 520-9163
Entity
Organization
Contact information
Practice address
5701 MAPLE AVE STE 100, DALLAS, TX 75235-6596
(214) 351-6600
Mailing address
5701 MAPLE AVE STE 100, DALLAS, TX 75235-6596
(214) 351-6600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G1105
TX
Other
Enumeration date
10/01/2014
Last updated
04/07/2015
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