DAVID BACK CLINIC OF AMERICA INC (NPI# 1720247844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720247844 |
| Entity Type | Organization |
| Organization Name | DAVID BACK CLINIC OF AMERICA INC |
| Other Organization Name | DBC AMERICA INC |
| Practice Address |
3800 Hulen St Suite 110 Fort Worth TX 76107-7276 |
| Mailing Address |
3725 Cockrell Ave Fort Worth TX 76110-4602 |
| Practice Telephone | 8179219983 |
| Practice Fax Number | 8177639985 |
| Mailing Telephone | 8179219981 |
| Mailing Fax Number | 8179211407 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |
| Authorized Official Name | MS. CARMA ANDERSON (VP OPERATIONS) |
| Authorized Official Telephone | 8179219981 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DBC America Inc | Doing Business As Name - Organization |
| Street Address |
3800 HULEN ST SUITE 110 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-7276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740259308 | Tara Leigh Wisdom | Physical Therapist | 3800 Hulen St, Fort Worth, TX 76107-7276 | 2006-03-16 |
| 1033693585 | Lindsie Brooke Bradberry | Physical Therapist | 3800 Hulen St, Fort Worth, TX 76107-7276 | 2018-09-20 |
| 1861974057 | Sheena Latrice Walter | Counselor | 3800 Hulen St, Fort Worth, TX 76107-7276 | 2018-09-04 |
| 1811476054 | Stephanie Norton | Social Worker | 3800 Hulen St, Fort Worth, TX 76107-7276 | 2018-08-08 |
| 1962981233 | Gayle Washington | Counselor | 3800 Hulen St, Fort Worth, TX 76107-7276 | 2018-08-08 |
| 1285112813 | Valerie Alise Cain | Social Worker | 3800 Hulen St, Fort Worth, TX 76107-7276 | 2018-08-06 |
| 1114405743 | Amy E Hester | Social Worker | 3800 Hulen St, Fort Worth, TX 76107-7276 | 2018-08-06 |
| 1124505821 | Whitney P Ground | Speech-Language Pathologist | 3800 Hulen St, Fort Worth, TX 76107-7276 | 2018-07-25 |
| 1962989145 | Mackenzi J Lindley | Speech-Language Pathologist | 3800 Hulen St, Fort Worth, TX 76107-7276 | 2018-07-20 |
| 1952888133 | Olivia M Swearingen | Speech-Language Pathologist | 3800 Hulen St, Fort Worth, TX 76107-7276 | 2018-07-20 |
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|---|---|---|---|---|
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| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
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| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| City | FORT WORTH |
| Zip Code | 76107 |
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| 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.