| Rebirth Inc. | |
|
612 N Story Rd Ste 101 Irving TX 75061-6764 | |
| (469) 608-0295 | |
| (903) 913-7274 |
| Full Name | Rebirth Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 612 N Story Rd Ste 101, Irving, Texas |
| Authorized Official Name and Position | Crystal Dionne Dudley (OWNER) |
| Authorized Official Contact | 4696080295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebirth Inc. Po Box 3113 Kilgore TX 75663-3113 Ph: () - | Rebirth Inc. 612 N Story Rd Ste 101 Irving TX 75061-6764 Ph: (469) 608-0295 |
| NPI Number | 1588282032 |
|---|---|
| Provider Enumeration Date | 07/10/2020 |
| Last Update Date | 07/10/2020 |
| Certification Date | 07/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588282032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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