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NPI Code Detail

MEDICARE: VICTORY INJURY CENTERS

MEDICARE: VICTORY INJURY CENTERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NS0005XSports Physician Chiropractor9203TX

General Provider Information

NPI Number : 1750516274
Entity Type Code : Organization
Provider Name (Legal Business Name) : VICTORY INJURY CENTERS
Provider Business Mailing Address
First Line : 4634 CAMP BOWIE BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-3744
Country : US
Telephone Number : 817-735-3839
Fax Number : 817-735-3837
Provider Business Practice Location Address
First Line : 4634 CAMP BOWIE BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-3744
Country : US
Telephone Number : 817-735-3839
Fax Number : 817-735-3837
Authorized Official
Title or Position : OWNER
Name : MR. BRIAN RONALD SAUL
Credential : D.C.
Telephone Number : 817-735-3839
Provider Enumeration Date : 05/28/2009
Last Update Date : 09/08/2010

Similar Medicare Providers

1982738159 — DR. BRIAN RONALD SAUL D.C.
Practice Location Address:
4634 CAMP BOWIE BLVD
FORT WORTH, TX
76107-3744
Practice Phone: 817-735-3839
Practice Fax: 817-735-3837
1104098003 — DR. NICOLE HELENA SHARP D.C.
Practice Location Address:
4634 CAMP BOWIE BLVD
FORT WORTH, TX
76107-3744
Practice Phone: 817-455-3938
Practice Fax: 817-735-3837
1417190794 — MICHELLE LANGLEY L.M.T.
Practice Location Address:
4634 CAMP BOWIE BLVD
FORT WORTH, TX
76107-3744
Practice Phone: 817-735-3839
Practice Fax: 817-735-3837
1225338783 — NATURAL HEALTH CHIROPRACTIC SPORT & SPINE
Practice Location Address:
4634 CAMP BOWIE BLVD
FT WORTH, TX
76107-3744
Practice Phone: 817-735-3839
Practice Fax: 817-735-3837
1922368463 — DR. JENNIFER TENGRA D.C.
Practice Location Address:
4634 CAMP BOWIE BLVD
FORT WORTH, TX
76107-3744
Practice Phone: 817-735-3828
Practice Fax:
1366972705 — LMS CHIRO INC
Practice Location Address:
4634 CAMP BOWIE BLVD
FORT WORTH, TX
76107-3744
Practice Phone: 817-375-3839
Practice Fax: 817-735-3837

Directions to “VICTORY INJURY CENTERS ” Practice Location

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