MEDICARE: ACCIDENT & REHAB CENTER

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
1	111N00000X	Chiropractor	9341	TX

General Provider Information

NPI Number	:	1750302618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCIDENT & REHAB CENTER

Provider Business Mailing Address
First Line	:	3456 WEBB CHAPEL EXT
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75220-6751
Country	:	US
Telephone Number	:	214-902-8868
Fax Number	:	214-902-9796

Provider Business Practice Location Address
First Line	:	3456 WEBB CHAPEL EXT
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75220-6751
Country	:	US
Telephone Number	:	214-902-8868
Fax Number	:	214-902-9796

Authorized Official
Title or Position	:	ASSOCIATE/CHIROPRACTOR
Name	:	JOSE ALEX SOBERANIS
Credential	:	D.C.
Telephone Number	:	214-902-8868

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	07/30/2007

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Directions to “ACCIDENT & REHAB CENTER ” Practice Location

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