Organization
CENTEX SPINE & REHAB, LLC
Active
Other names
Centex Spine & Rehab, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN A FYKE DC (PRESIDENT)
(254) 235-0708
Entity
Organization
Contact information
Practice address
7111 BOSQUE BLVD STE 101, WACO, TX 76710-4067
(254) 235-0708
(254) 693-7775
Mailing address
7111 BOSQUE BLVD STE 101, WACO, TX 76710-4067
(254) 235-0708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
04/20/2020
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