Organization
DAX PHYSICAL MEDICINE P C
Active
Parent organization
DAX PHYSICAL MEDICINE MANAGEMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAX PHYSICAL MEDICINE MANAGEMENT
Authorized official
DR. JEAN-SCOTT BENDIKS DC (CWNER)
(956) 399-2169
Entity
Organization
Contact information
Practice address
400 W HWY 77, SAN BENITO, TX 78586-5148
(956) 399-2169
(956) 399-0312
Mailing address
400 W HWY 77, SAN BENITO, TX 78586-5148
(956) 399-2169
(956) 399-0312
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2923
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M1990
BCBS
TX
Enumeration date
05/16/2008
Last updated
01/07/2010
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