NPI 1962783258 · live from the CMS NPI Registry
Action Healthcare & Wellness
Physical Medicine & Rehabilitation in Grapevine, TX. National Provider Identifier 1962783258, active.
NPI record
| NPI | 1962783258 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Medicine & Rehabilitation 208100000X |
| Practice location | 210 N Park Blvd, Suite 105, Grapevine, TX 76051 |
| Practice phone | 817-812-3044 |
| Mailing address | 210 N. Park Blvd., Suite 105, Grapevine, TX 76051 |
| Enumerated | August 31, 2011 |
| Last updated | August 31, 2011 |
| Authorized official | Scott Lauer, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | TX4202 (TX) |
| Physical Medicine & Rehabilitation primary | 208100000X | K9102 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.