Larry North Sports Medicine
Chiropractor, Sports Physician in Dallas, TX. Organization (NPI-2).
NPI number1508058751
StatusActive
Last updated in NPPESAug 13, 2007
Details
- NPI
- 1508058751
- Entity type
- Organization (NPI-2)
- Legal business name
- Larry North Sports Medicine
- Organization subpart
- No
- Enumeration date
- Aug 13, 2007
- Last updated
- Aug 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NS0005X | Chiropractor, Sports Physician | 6832 | TX | Yes |
| 111NS0005X | Chiropractor, Sports Physician | 10069 | TX | |
| 111NS0005X | Chiropractor, Sports Physician | 9801 | TX | |
| 225100000X | Physical Therapist | PT1126068 | TX |
Other names
- Advanced Spine & Sports Medicine (Doing Business As)
Practice location
4801 Spring Valley RdSuite 40
Dallas, TX 75244
Phone 972-488-9686 · Fax 972-241-1936
Mailing address
Po Box 1731Addison, TX 75001-1731
Phone 972-488-9686 · Fax 972-241-1936
Authorized official
Paula Paredes
Office Manager
9724889686
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