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Organization

ACTIVE PLUS REHAB, INC.

Active
Other names
Spinal Decompression of Fort Worth
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAND H LEWIS D.C. (PRESIDENT)
(817) 560-8100
Entity
Organization

Contact information

Practice address
8808 CAMP BOWIE W, SUITE 150, FORT WORTH, TX 76116-6028
(817) 560-8100
(817) 560-8103
Mailing address
8808 CAMP BOWIE W, SUITE 150, FORT WORTH, TX 76116-6028
(817) 560-8100
(817) 560-8103

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
F007684
TX

Other

Enumeration date
09/24/2007
Last updated
09/24/2007
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