Provider Demographics
NPI:1003837857
Name:CANO HEALTH & REHAB CLINIC, PA
Entity Type:Organization
Organization Name:CANO HEALTH & REHAB CLINIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-391-9100
Mailing Address - Street 1:1528 S BUCKNER BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-1705
Mailing Address - Country:US
Mailing Address - Phone:214-391-9100
Mailing Address - Fax:214-391-9116
Practice Address - Street 1:1528 S BUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-1705
Practice Address - Country:US
Practice Address - Phone:214-391-9100
Practice Address - Fax:214-391-9116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9397111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty