Organization
ADVANCED SPORTS REHAB OF FRISCO
Active
Organization
ADVANCED SPORTS REHAB OF FRISCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAYNA L MILES (BILLING AGENT)
(817) 932-7066
Entity
Organization
Contact information
Practice address
12021 DALLAS PKWY, STE. 200, FRISCO, TX 75033-3677
(972) 578-2225
(972) 578-2201
Mailing address
12021 DALLAS PKWY, STE. 200, FRISCO, TX 75033-3677
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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