Provider Demographics
NPI:1548852288
Name:DALLAS PELVIC HEALTH
Entity type:Organization
Organization Name:DALLAS PELVIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:832-964-4738
Mailing Address - Street 1:320 ANDRE DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-5346
Mailing Address - Country:US
Mailing Address - Phone:832-964-4738
Mailing Address - Fax:
Practice Address - Street 1:6711 ELM ST STE B
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4130
Practice Address - Country:US
Practice Address - Phone:832-964-4738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1497309678OtherPERSONAL NPI