Organization
CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA
Active
Parent organization
CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA
Authorized official
DR. RANDALL W RODGERS D.O. (PHYSICIAN-PRESIDENT)
(903) 839-1000
Entity
Organization
Contact information
Practice address
3704 ALTA MESA BLVD, FORT WORTH, TX 76133-5606
(817) 423-4440
(817) 423-4441
Mailing address
403 STATE HIGHWAY 110 N, WHITEHOUSE, TX 75791-3109
(903) 839-1000
(903) 839-4000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780817866
BCBSTX
TX
01
—
DF1536
RAILROAD MEDICARE
TX
Enumeration date
08/24/2009
Last updated
01/04/2011
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