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Organization

D.C. REHAB CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES TANNER D.C. (AGENT)
(361) 980-8119
Entity
Organization

Contact information

Practice address
4646 CORONA DR, SUITE 140, CORPUS CHRISTI, TX 78411-4320
(361) 980-8119
Mailing address
4646 CORONA DR, SUITE 140, CORPUS CHRISTI, TX 78411-4320
(361) 980-8119

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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