Provider Demographics
NPI:1558526178
Name:NATURAL CORRECTIONS
Entity Type:Organization
Organization Name:NATURAL CORRECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DECOREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-948-5316
Mailing Address - Street 1:PO BOX 863268
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75086-3268
Mailing Address - Country:US
Mailing Address - Phone:214-342-0400
Mailing Address - Fax:214-342-0406
Practice Address - Street 1:7522 CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1784
Practice Address - Country:US
Practice Address - Phone:214-342-0400
Practice Address - Fax:214-342-0406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ81892081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0014EROtherBCBS OF TX