Provider Demographics
NPI:1861835878
Name:VITALITY REHAB AND FAMILY CHIROPRACTIC, PC
Entity type:Organization
Organization Name:VITALITY REHAB AND FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:JENETTE
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-330-2110
Mailing Address - Street 1:12870 HILLCREST ROAD
Mailing Address - Street 2:SUITE H-200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230
Mailing Address - Country:UM
Mailing Address - Phone:956-330-2110
Mailing Address - Fax:469-326-0015
Practice Address - Street 1:7927 FOREST LANE
Practice Address - Street 2:APT #408
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:956-330-2110
Practice Address - Fax:469-326-0015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12210111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty