Organization
DESOTO INJURY REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LONG (PARTNER)
(469) 297-6575
Entity
Organization
Contact information
Practice address
509 N HAMPTON RD STE 100A, DESOTO, TX 75115-4970
(469) 297-6575
(469) 533-0307
Mailing address
509 N HAMPTON RD STE 100A, DESOTO, TX 75115-4970
(469) 297-6575
(469) 533-0307
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
F0011366
TX
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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