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Blueprint To Healthcare

Physical Medicine & Rehabilitation in Irving, TX. Organization (NPI-2).

NPI number1326331232
StatusActive
Last updated in NPPESSep 1, 2011

Details

NPI
1326331232
Entity type
Organization (NPI-2)
Legal business name
Blueprint To Healthcare
Organization subpart
No
Enumeration date
May 25, 2011
Last updated
Sep 1, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationK9102TXYes

Practice location

305 Cimarron Trl Ste 180
Irving, TX 75063-4502

Phone 972-401-8800 · Fax 972-401-8801

Mailing address

Po Box 632225
Irving, TX 75063-0043

Authorized official

Aaron Walter Gumm
President
2145148766

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