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Organization

FIRRA THERAPEUTICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOAN CRUMMEY FIRRA PT, PHD (OWNER)
(214) 348-3516
Entity
Organization

Contact information

Practice address
10557 CHURCH ROAD, DALLAS, TX 75238
(214) 348-3516
(214) 348-5727
Mailing address
10557 CHURCH RD, DALLAS, TX 75238-2269
(214) 348-3516
(214) 348-5727

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1001667
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
087663301
TX
01
824T52
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/08/2007
Last updated
09/14/2009
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