Provider Demographics
NPI:1457401135
Name:ACCIDENT & INJURY PAIN CENTERS, INC.
Entity Type:Organization
Organization Name:ACCIDENT & INJURY PAIN CENTERS, INC.
Other - Org Name:ACCIDENT & INJURY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OF STAFF
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:RHUDY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-378-4499
Mailing Address - Street 1:200 WYNNEWOOD VILLAGE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224
Mailing Address - Country:US
Mailing Address - Phone:214-378-4499
Mailing Address - Fax:214-948-6576
Practice Address - Street 1:1504 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2027
Practice Address - Country:US
Practice Address - Phone:817-335-4878
Practice Address - Fax:817-335-4890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center