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25134 Oakhurst Dr Spring TX 77386-1421 | |
| (936) 271-0221 | |
| (936) 271-0219 |
| Full Name | |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 25134 Oakhurst Dr, Spring, Texas |
| Authorized Official Name and Position | Samuel Alianell (PARTNER) |
| Authorized Official Contact | 9363210214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
25134 Oakhurst Dr Spring TX 77386-1421 Ph: (936) 271-0221 | 25134 Oakhurst Dr Spring TX 77386-1421 Ph: (936) 271-0221 |
| NPI Number | 1760402226 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760402226 | NPI | - | NPPES |
| 652320000 | Other | TX | ECPTOTE PT FACILITY LIC |
| 206010500 | Other | TX | US DEPARTMENT OF LABOR ID |
| 0027PL | Other | TX | BCBSTX GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
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