Provider Demographics
NPI:1447490651
Name:UNIQUE CHIROPRACTIC & REHABILITATION CLINIC INC
Entity type:Organization
Organization Name:UNIQUE CHIROPRACTIC & REHABILITATION CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:U
Authorized Official - Last Name:OKONS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-675-2258
Mailing Address - Street 1:9090 SKILLMAN ST
Mailing Address - Street 2:271-A
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-8259
Mailing Address - Country:US
Mailing Address - Phone:972-675-2258
Mailing Address - Fax:
Practice Address - Street 1:901 BELT LINE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-3664
Practice Address - Country:US
Practice Address - Phone:972-675-2258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC 8318261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation