Injury and Rehab Centers

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

9203 Issued in TX

Legal business name

INJURY AND REHAB CENTERS

Doing business as

Victory Injury Centers, LTD

Practice address

900 N Polk St
Suite 170
Desoto, TX 75115

Phone

(469) 272-0088

Fax

(469) 272-4576

NPI assigned

May 3, 2007

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Ronald Saul, DC

Title

Proprietor

Phone

(469) 272-0088

Specialties & licenses 1

Addresses

Other names 1

• VICTORY INJURY CENTERS, LTD Doing business as

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1851513154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N POLK ST",
            "address_2": "SUITE 170",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "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": "SUITE 170",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "469-272-0088",
            "fax_number": "469-272-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY AND REHAB CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "SAUL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "469-272-0088",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "9203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTORY INJURY CENTERS, LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sports Physician Chiropractor in Desoto, TX
• Providers in Desoto, TX by specialty
• Sports Physician 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.