Organization Active NPI

North Texas Clinic & Rehabilitation Center, P.a.

  • Chiropractor
  • North Richland Hills, TX
National Provider Identifier
1174631790
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6838 Issued in TX
Legal business name
NORTH TEXAS CLINIC & REHABILITATION CENTER, P.A.
Practice address
5750 Rufe Snow Dr
Ste 100
North Richland Hills, TX 76180-6163
Phone
(817) 581-5959
Fax
(817) 581-9231
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vaughn A Brozek, D.C.
Title
President Chiropractor
Phone
(817) 581-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6838 TX Primary

Addresses

Primary practice location

5750 Rufe Snow Dr
Ste 100
North Richland Hills, TX 76180-6163

Mailing address

PO Box 48100
Watauga, TX 76148-0100
Phone (817) 581-5959

Other identifiers 1

IdentifierTypeStateIssuer
44KGOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

5750 Rufe Snow Dr
Ste 100
North Richland Hills, TX 76180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174631790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48100",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761480100",
            "telephone_number": "817-581-5959",
            "fax_number": "817-581-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 RUFE SNOW DR",
            "address_2": "STE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806163",
            "telephone_number": "817-581-5959",
            "fax_number": "817-581-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS CLINIC & REHABILITATION CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROZEK",
        "authorized_official_first_name": "VAUGHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT CHIROPRACTOR",
        "authorized_official_telephone_number": "817-581-5959",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "44KG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.