Organization
ALIGN SPINE AND SPORTS REHAB, PLLC
Active
Organization
ALIGN SPINE AND SPORTS REHAB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PORCHA ANDERSON DC (CLINICAL DIRECTOR)
(469) 346-8573
Entity
Organization
Contact information
Practice address
700 MIRKES PKWY, DESOTO, TX 75115-2972
(469) 346-8573
Mailing address
700 MIRKES PKWY, DESOTO, TX 75115-2972
(469) 346-8573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215448063
—
TX
05
—
1417463498
—
TX
Enumeration date
06/08/2021
Last updated
06/08/2021
Update your record
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