| |
2001 Se Green Oaks Blvd Ste 130, Arlington, TX 76018-0952 | |
(817) 473-1312 | |
(866) 990-2813 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
Location | 2001 Se Green Oaks Blvd Ste 130, Arlington, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831712413 | NPI | - | NPPES |
45D2207166 | Other | TX | CLIA |
482228 | Other | TX | PTAN |
404951201 | Medicaid | TX | |
25D2200016 | Other | MS | CLIA MS |
567960000 | Other | TX | THERAPY CLINIC |
Provider Name | Zemelda Carr |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790003531 PECOS PAC ID: 6608185624 Enrollment ID: I20160329000251 |
Mailing Address | Practice Location Address |
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2001 Se Green Oaks Blvd Ste 130, Arlington, TX 76018-0952 Ph: (817) 473-1312 | 2001 Se Green Oaks Blvd Ste 130, Arlington, TX 76018-0952 Ph: (817) 473-1312 |