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Contact Information

CDM BOXING ASSOCIATION
1007 STABLE SIDE CT
HOUSTON, TX77073-6409
 Phone: 404-610-3046
 Fax: 281-443-1432
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
 

Athletic Trainer

2255A2300X
 

Clinical Exercise Physiologist

224Y00000X
 

Kinesiotherapist

226300000X
 

Recreation Therapist

225800000X
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CDM BOXING ASSOCIATION

NPI Number 1144597832
LBN Legal business name CDM BOXING ASSOCIATION
Authorized official FELICIA DAVIS-DARTHARD - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/23/2011
Last updated 09/12/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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