| Neuro Rehab & Lyphmoedema Care Center | |
|
2611 Sunburst Dr Midland TX 79707-5111 | |
| (432) 520-2859 | |
| (432) 520-2861 |
| Full Name | Neuro Rehab & Lyphmoedema Care Center |
|---|---|
| Speciality | Clinic/center |
| Location | 2611 Sunburst Dr, Midland, Texas |
| Authorized Official Name and Position | Nanda N Ambore (OWNER) |
| Authorized Official Contact | 4325202859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Rehab & Lyphmoedema Care Center 2611 Sunburst Dr Midland TX 79707-5111 Ph: (432) 520-2859 | Neuro Rehab & Lyphmoedema Care Center 2611 Sunburst Dr Midland TX 79707-5111 Ph: (432) 520-2859 |
| NPI Number | 1528033032 |
|---|---|
| Provider Enumeration Date | 02/18/2006 |
| Last Update Date | 08/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528033032 | NPI | - | NPPES |
| 170848901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 552830000 (Texas) | Primary |
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