Provider Demographics
NPI:1578993093
Name:DFW INJURY & REHAB CENTER, P.A.
Entity Type:Organization
Organization Name:DFW INJURY & REHAB CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:ELIO
Authorized Official - Last Name:BORME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-221-2580
Mailing Address - Street 1:7920 BELT LINE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-8148
Mailing Address - Country:US
Mailing Address - Phone:214-221-2580
Mailing Address - Fax:214-446-2323
Practice Address - Street 1:7920 BELT LINE RD STE 120
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-8148
Practice Address - Country:US
Practice Address - Phone:214-221-2580
Practice Address - Fax:214-446-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3211207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty