| The Rehab By Rescuemd | |
|
945 Stockton Dr Unit 4130 Allen TX 75013-6154 | |
| (972) 450-5844 | |
| Not Available |
| Full Name | The Rehab By Rescuemd |
|---|---|
| Speciality | Clinic/Center |
| Location | 945 Stockton Dr Unit 4130, Allen, Texas |
| Authorized Official Name and Position | Olubukola Okoro (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9723907667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Rehab By Rescuemd 945 Stockton Dr Unit 6100 Allen TX 75013-6158 Ph: (972) 390-7667 | The Rehab By Rescuemd 945 Stockton Dr Unit 4130 Allen TX 75013-6154 Ph: (972) 450-5844 |
| NPI Number | 1578328894 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 05/17/2024 |
| Medicare PECOS PAC ID | 6507203155 |
|---|---|
| Medicare Enrollment ID | O20240319002304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578328894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QR0404X | Clinic/center - Rehabilitation, Cardiac Facilities | (* (Not Available)) | Secondary |
| Provider Name | Olubukola A Okoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073877700 PECOS PAC ID: 0143527341 Enrollment ID: I20160404000981 |
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