Provider Demographics
NPI:1851661227
Name:JOO RIRA, INC.
Entity type:Organization
Organization Name:JOO RIRA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:UM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-316-3073
Mailing Address - Street 1:2050 W SPRING CREEK PKWY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4224
Mailing Address - Country:US
Mailing Address - Phone:214-316-3073
Mailing Address - Fax:972-673-0224
Practice Address - Street 1:2050 W SPRING CREEK PKWY
Practice Address - Street 2:SUITE 208
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4224
Practice Address - Country:US
Practice Address - Phone:214-316-3073
Practice Address - Fax:972-673-0224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty