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Contact Information

ADVANCED WELLNESS AND REHAB CENTER
6029 BELT LINE RD STE 100
DALLAS, TX75254-9137
 Phone: 972-392-7008
 Fax: 972-392-1171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Acupuncturist

171100000X
 

Chiropractor

111N00000X 35 Chiropractic
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ADVANCED WELLNESS AND REHAB CENTER

NPI Number 1295841070
LBN Legal business name ADVANCED WELLNESS AND REHAB CENTER
Authorized official CORINNA JUMAO-AS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
TX License # 111489
TX License # DC4635
TX Other 8J3270 BLUE CROSS BLUE SHIELD
TX Other 0034KD BLUE CROSS BLUE SHIELD GR
TX Other 8T4335 BLUECROSS BLUE SHIELD
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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