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Organization

BACK TO ACTION INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRETT ALAN TICE (CEO/OWNER)
(956) 428-2512
Entity
Organization

Contact information

Practice address
1801 N ED CAREY DR STE C, HARLINGEN, TX 78550-8281
(956) 428-8951
(956) 428-0232
Mailing address
PO BOX 532127, HARLINGEN, TX 78553-2127
(956) 428-8951
(956) 428-0232

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0047HV
BCBS
05
156587101
TX
01
DB6588
RAILROAD MC
Enumeration date
07/31/2006
Last updated
04/06/2026
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