Organization
ELITE PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY ALLEN HALL D.C. (DIRECTOR OF PHYSICAL MEDICINE)
(972) 339-2464
Entity
Organization
Contact information
Practice address
2711 N HASKELL AVE, 2ND FLOOR, DALLAS, TX 75204-2911
(972) 885-0440
(888) 317-7686
Mailing address
2535 TYE LN, LEWISVILLE, TX 75056-3936
(972) 339-2464
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12049
TX
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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