| |
2070 Fm 1960 Rd W, Houston, TX 77090-3102 | |
(281) 880-6655 | |
(281) 880-6659 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 2070 Fm 1960 Rd W, Houston, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386938942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 8504 (Texas) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 8504 (Texas) | Primary |
Mailing Address | Practice Location Address |
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Po Box 24809, Houston, TX 77229-4809 Ph: (713) 378-0667 | 2070 Fm 1960 Rd W, Houston, TX 77090-3102 Ph: (281) 880-6655 |