THE BACK DOCTOR, L.L.C.


Address: 8302 Rockford Hall Dr, Spring, TX 77379-6759
Phone: 4692354082

THE BACK DOCTOR, L.L.C. (NPI# 1255519179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255519179
Entity Type Organization
Organization Name THE BACK DOCTOR, L.L.C.
Practice Address 8302 Rockford Hall Dr
Spring
TX 77379-6759
Mailing Address 8040 Sw 61st St
Topeka
KS 66610-9652
Practice Telephone 4692354082
Enumeration Date 2008-02-01
Last Update Date 2008-02-01
Authorized Official Name DR. DIANNE MALLARI (CHIROPRACTOR)
Authorized Official Telephone 4692354082
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
10685 TX Ambulatory Health Care Facilities

Office Location

Street Address 8302 ROCKFORD HALL DR
City SPRING
State TX
Zip Code 77379-6759

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City SPRING
Zip Code 77379

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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