Organization
DALLAS INJURY REHAB LLC
Active
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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