Provider Demographics
NPI:1548514912
Name:HEALTH FIRST MEDICAL PAIN AND REHABILITATION CENTER PLLC
Entity type:Organization
Organization Name:HEALTH FIRST MEDICAL PAIN AND REHABILITATION CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:MATISCIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-302-2262
Mailing Address - Street 1:2849 MORRISS RD
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-3662
Mailing Address - Country:US
Mailing Address - Phone:972-956-9887
Mailing Address - Fax:972-956-9869
Practice Address - Street 1:2849 MORRISS RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-3662
Practice Address - Country:US
Practice Address - Phone:972-956-9887
Practice Address - Fax:972-956-9869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty