Organization
FORT WORTH REHAB GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRANDI O'BANION (MANAGER)
(214) 432-0910
Entity
Organization
Contact information
Practice address
3301 N MAIN ST, SUITE B, FORT WORTH, TX 76106-4344
(817) 624-4141
(817) 624-4227
Mailing address
3523 MCKINNEY AVE, # 246, DALLAS, TX 75204-1401
(214) 432-0910
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8454
TX
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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