Organization
TEXAS SPINE AND JOINT REHABILITATION
Active
Organization
TEXAS SPINE AND JOINT REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEE PENNELL D.C. (OWNER)
(214) 549-7009
Entity
Organization
Contact information
Practice address
208 W KEARNEY ST, SUITE 201, MESQUITE, TX 75149-3476
(214) 549-7009
Mailing address
208 W KEARNEY ST, SUITE 201, MESQUITE, TX 75149-3476
(214) 549-7009
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
11401
TX
305R00000X
Preferred Provider Organization
11401
TX
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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