Healthcare Provider Details

I. General information

NPI: 1144234758
Provider Name (Legal Business Name): BB REHAB CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 01/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4828 COLUMBIA AVE 200
DALLAS TX
75226-1011
US

IV. Provider business mailing address

1905 ABRAMS RD
DALLAS TX
75214-3916
US

V. Phone/Fax

Practice location:
  • Phone: 214-826-9567
  • Fax: 214-887-0245
Mailing address:
  • Phone: 214-826-9567
  • Fax: 214-887-0245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC4053
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC4153
License Number StateTX

VIII. Authorized Official

Name: MRS. MELISSA MASTERS
Title or Position: OFFICE MANAGER
Credential:
Phone: 972-392-3400