Provider Demographics
NPI:1992003545
Name:INJURY INSTITUTE OF TEXAS
Entity Type:Organization
Organization Name:INJURY INSTITUTE OF TEXAS
Other - Org Name:INJURY INSTITUTE OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIROOSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-523-6953
Mailing Address - Street 1:PO BOX 701359
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75370-1359
Mailing Address - Country:US
Mailing Address - Phone:972-523-6953
Mailing Address - Fax:972-241-8227
Practice Address - Street 1:216 WEST JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208
Practice Address - Country:US
Practice Address - Phone:972-496-2225
Practice Address - Fax:972-495-3531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-07
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6778111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty