Irc Diagnostics

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

09203 Issued in TX

Legal business name

IRC DIAGNOSTICS

Practice address

900 N Polk St
#170
Desoto, TX 75115-4019

Phone

(469) 272-0088

Fax

(469) 272-4576

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Brian R Saul, D.C.

Title

Proprietor

Phone

(469) 337-3903

Specialties & licenses 1

Addresses

Other names 1

• VICTORY INJURY CENTERS, L.T.D. Doing business as

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1487877494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N POLK ST",
            "address_2": "#170",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154019",
            "telephone_number": "469-272-0088",
            "fax_number": "469-272-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N POLK ST",
            "address_2": "#170",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154019",
            "telephone_number": "469-272-0088",
            "fax_number": "469-272-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRC DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "SAUL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "469-337-3903",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "09203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTORY INJURY CENTERS, L.T.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Desoto, TX
• Providers in Desoto, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.