| Killeen Injury Clinic, Inc. | |
|
100 E Central Texas Expy Suite 100 Killeen TX 76541-8525 | |
| (254) 501-3555 | |
| (254) 501-3554 |
| Full Name | Killeen Injury Clinic, Inc. |
|---|---|
| Speciality | Physical Therapist |
| Location | 100 E Central Texas Expy, Killeen, Texas |
| Authorized Official Name and Position | Nat Mangum (CEO) |
| Authorized Official Contact | 4696886628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Killeen Injury Clinic, Inc. 5931 Desco Drive Dallas TX 75225 Ph: (214) 692-6666 | Killeen Injury Clinic, Inc. 100 E Central Texas Expy Suite 100 Killeen TX 76541-8525 Ph: (254) 501-3555 |
| NPI Number | 1134326739 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 04/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134326739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 14136 (Texas) | Secondary |
| 208D00000X | General Practice | J1957 (Texas) | Secondary |
| 225100000X | Physical Therapist | 1030278 (Texas) | Primary |
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