Healthcare Provider Details

I. General information

NPI: 1548514912
Provider Name (Legal Business Name): HEALTH FIRST MEDICAL PAIN AND REHABILITATION CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2012
Last Update Date: 01/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2849 MORRISS RD
FLOWER MOUND TX
75028-3662
US

IV. Provider business mailing address

2849 MORRISS RD
FLOWER MOUND TX
75028-3662
US

V. Phone/Fax

Practice location:
  • Phone: 972-956-9887
  • Fax: 972-956-9869
Mailing address:
  • Phone: 972-956-9887
  • Fax: 972-956-9869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateTX

VIII. Authorized Official

Name: DR. RODNEY MARTIN MATISCIK
Title or Position: OWNER
Credential: DC
Phone: 972-302-2262