Organization
IRVING INJURY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LONG (ADMINISTRATOR)
(972) 514-6278
Entity
Organization
Contact information
Practice address
612 N STORY RD STE 107, IRVING, TX 75061-6764
(972) 514-6278
Mailing address
PO BOX 195884, DALLAS, TX 75219-8615
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
05/30/2017
Last updated
03/05/2020
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