Provider Demographics
NPI:1760503023
Name:DFW WORKERS REHAB, INC.
Entity Type:Organization
Organization Name:DFW WORKERS REHAB, INC.
Other - Org Name:TEXAS WORKERS REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NEDA
Authorized Official - Middle Name:NIKKI
Authorized Official - Last Name:BAHADORI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-834-7422
Mailing Address - Street 1:707 N RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76111-4247
Mailing Address - Country:US
Mailing Address - Phone:817-834-7422
Mailing Address - Fax:817-834-7423
Practice Address - Street 1:707 N RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76111-4247
Practice Address - Country:US
Practice Address - Phone:817-834-7422
Practice Address - Fax:817-834-7423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8689111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty