Organization
GREATER SOUTHWEST INJURY & REHAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE PHUONG TRAN D.C. (PRESIDENT)
(972) 522-1511
Entity
Organization
Contact information
Practice address
2304 BARDIN RD, SUITE 201, GRAND PRAIRIE, TX 75052-3850
(972) 522-1511
(972) 522-1510
Mailing address
2304 BARDIN RD, SUITE 201, GRAND PRAIRIE, TX 75052-3850
(972) 522-1511
(972) 522-1510
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
F007414
TX
Other
Enumeration date
09/04/2007
Last updated
09/11/2009
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