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Organization

ACCIDENT & BACK PAIN CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY HAMMETT (REPRESENTATIVE)
(979) 776-7300
Entity
Organization

Contact information

Practice address
3304 SE LOOP 820, FORT WORTH, TX 76140-1108
(817) 568-9200
(817) 568-8792
Mailing address
3304 SE LOOP 820, FORT WORTH, TX 76140-1108
(817) 568-9200
(817) 568-8792

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
179719500
US DEPT. OF LABOR
01
603589
BLUE CROSS
Enumeration date
10/16/2006
Last updated
06/13/2008
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