Organization
ADOM REHAB AND PHYSICAL MEDICINE
Active
Other names
Pain Aide Rehab and Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TINA O COLLINS DC (ADMINISTRATOR)
(713) 776-0252
Entity
Organization
Contact information
Practice address
10600 FONDREN RD, #101, HOUSTON, TX 77096
(713) 776-0091
(713) 776-0093
Mailing address
10600 FONDREN RD, SUITE #101, HOUSTON, TX 77096
(713) 776-0252
(713) 776-0093
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC6816
TX
261QX0100X
Occupational Medicine Clinic/Center
Primary
F8454
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P08815K05
—
TX
05
—
P089942N7
—
TX
05
—
P0899443N7
—
TX
Enumeration date
12/29/2006
Last updated
08/19/2008
Update your record
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