Provider Demographics
NPI:1275292930
Name:INJURY AND RECOVERY CLINICS OF TEXAS
Entity Type:Organization
Organization Name:INJURY AND RECOVERY CLINICS OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING ASSOC.
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-307-4444
Mailing Address - Street 1:6070 GATEWAY BLVD E STE 100
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2027
Mailing Address - Country:US
Mailing Address - Phone:915-307-4444
Mailing Address - Fax:915-228-3666
Practice Address - Street 1:6070 GATEWAY BLVD E STE 100
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2027
Practice Address - Country:US
Practice Address - Phone:915-307-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty