Organization Active NPI

Work Injury Assistance Center of Texas

  • Rehabilitation Clinic/Center
  • Grand Prairie, TX
National Provider Identifier
1396069043
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
WORK INJURY ASSISTANCE CENTER OF TEXAS
Practice address
517 N Carrier Pkwy Ste C
Grand Prairie, TX 75050-5464
Phone
(214) 255-7022
NPI assigned
Mar 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Moises Aaron Uribe
Title
Owner
Phone
(214) 255-7022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

517 N Carrier Pkwy Ste C
Grand Prairie, TX 75050-5464

Mailing address

517 N Carrier Pkwy Ste C
Grand Prairie, TX 75050-5464

Other names 1

  • W.I.A.C.T. Other name

National Provider Directory

National Provider Directory

Locations

517 N Carrier Pkwy
Ste C
Grand Prairie, TX 75050
Phone (214) 255-7022

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1396069043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N CARRIER PKWY STE C",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N CARRIER PKWY STE C",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505464",
            "telephone_number": "214-255-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORK INJURY ASSISTANCE CENTER OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "URIBE",
        "authorized_official_first_name": "MOISES",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-255-7022"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W.I.A.C.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.