Organization
DALLAS INJURY REHAB LLC
Active
Other names
DIR DIAGNOSTICS
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MIRRO D.C. (PROPRIETOR)
(214) 357-7875
Entity
Organization
Contact information
Practice address
320 REGAL ROW, SUITE 100, DALLAS, TX 75247-5200
(214) 357-7875
(972) 557-7001
Mailing address
PO BOX 600084, DALLAS, TX 75360-0084
(214) 357-7875
(972) 557-7001
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8U8530
BCBS
TX
Enumeration date
06/14/2007
Last updated
10/13/2009
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