Provider Demographics
NPI:1770823262
Name:ALLIED INJURY & WELLNESS CENTER, INC
Entity Type:Organization
Organization Name:ALLIED INJURY & WELLNESS CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:C KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OFURUM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-503-9400
Mailing Address - Street 1:9304 FOREST LN
Mailing Address - Street 2:S-226
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6238
Mailing Address - Country:US
Mailing Address - Phone:214-503-9400
Mailing Address - Fax:214-503-9401
Practice Address - Street 1:9304 FOREST LN
Practice Address - Street 2:S-226
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6238
Practice Address - Country:US
Practice Address - Phone:214-503-9400
Practice Address - Fax:214-503-9401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9656111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty