Provider Demographics
NPI:1376000794
Name:MEDICAL MASSAGE RX II
Entity Type:Organization
Organization Name:MEDICAL MASSAGE RX II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:K
Authorized Official - Last Name:RAUHAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-729-3911
Mailing Address - Street 1:2430 FM 407 STE B
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3090
Mailing Address - Country:US
Mailing Address - Phone:940-453-4310
Mailing Address - Fax:
Practice Address - Street 1:4235 PRESTON RD STE 300
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9564
Practice Address - Country:US
Practice Address - Phone:972-317-2612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty