Organization
CHIRO-PLUS REHABILITATION CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RAPHAEL FAZZIO DC (OWNER)
(281) 342-4155
Entity
Organization
Contact information
Practice address
5101 AVE H, STE 25, ROSENBERG, TX 77471
(281) 342-4155
(281) 342-5132
Mailing address
5101 AVE H, STE 25, ROSENBERG, TX 77471
(281) 342-4155
(281) 342-5132
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6669
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Z889
MEDICARE PROVIDER NUMBER
TX
Enumeration date
01/24/2008
Last updated
12/03/2008
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