Organization
GARLAND REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHAMLOR BOULYAPHONH (OWNER)
(214) 227-4401
Entity
Organization
Contact information
Practice address
3250 W WALNUT ST, GARLAND, TX 75042-6307
(214) 227-4401
(214) 227-5104
Mailing address
3250 W WALNUT ST, GARLAND, TX 75042-6307
(214) 227-4401
(214) 227-5104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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