Provider Demographics
NPI:1023209111
Name:JANA & RICK ENLOW
Entity Type:Organization
Organization Name:JANA & RICK ENLOW
Other - Org Name:ALL CARE BONE & JOINT REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:ENLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-581-7246
Mailing Address - Street 1:6805 NE LOOP 820
Mailing Address - Street 2:SUITE 414
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76180-6687
Mailing Address - Country:US
Mailing Address - Phone:817-581-7246
Mailing Address - Fax:817-581-7248
Practice Address - Street 1:6805 NE LOOP 820
Practice Address - Street 2:SUITE 414
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76180-6687
Practice Address - Country:US
Practice Address - Phone:817-581-7246
Practice Address - Fax:817-581-7248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00N14TMedicare PIN