# NISAL CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** QUALCARE REHABILITATION
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003100660
- **Authorized official:** MS. CARMEN L. MANZO (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (713) 378-0667

## Contact information

- **Practice address:** 10934 EAST FWY, HOUSTON, TX 77029-1959
- **Practice address phone:** (713) 450-2838
- **Practice address fax:** (713) 450-2843
- **Mailing address:** PO BOX 24809, HOUSTON, TX 77229-4809
- **Mailing address phone:** (713) 378-0667
- **Mailing address fax:** (713) 300-9990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 9330 | TX | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 9330 | TX | Yes |

## Other

- **Enumeration date:** 06/01/2011
- **Last updated:** 12/15/2011