Texas Spine and Sports Rehab Clinic LLC

NPI #1386856177 in Dickinson, Texas

Provider Information

NPI Number: 1386856177
Entity Type: Organization
Organization Name: Texas Spine and Sports Rehab Clinic LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TEXAS SPINE AND SPORTS REHAB
Primary Specialty: Chiropractor
Enumeration Date: May 4, 2007
Last Updated: Apr 30, 2008

Practice Location

Address: 305 FM 517 RD E
Address 2: STE F
City: Dickinson
State: Texas
ZIP Code: 77539
Phone: (832) 647-0761

Authorized Official

Name: ALFREDO J VAZQUEZ, DC
Title: OWNER DOCTOR
Phone: (832) 647-0761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Rehabilitation — Rehabilitation	111NR0400X
Chiropractor - Sports Physician — Sports Physician	111NS0005X
Chiropractor - Occupational Health — Occupational Health	111NX0100X
Chiropractor	111N00000X	Primary

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