Organization
NATURAL CORRECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN DECOREY (OFFICE MANAGER)
(972) 948-5316
Entity
Organization
Contact information
Practice address
7522 CAMPBELL RD, DALLAS, TX 75248-1784
(214) 342-0400
(214) 342-0406
Mailing address
PO BOX 863268, PLANO, TX 75086-3268
(214) 342-0400
(214) 342-0406
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
J8189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014ER
BCBS OF TX
TX
Enumeration date
07/23/2008
Last updated
07/23/2008
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