# D L&J PHYSICAL MEDICINE REHAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023119104
- **Authorized official:** DOREEN COYLE (ADMINISTRATOR)
- **Authorized official phone:** (713) 272-6610

## Contact information

- **Practice address:** 6065 HILLCROFT ST STE 109, HOUSTON, TX 77081-1005
- **Practice address phone:** (713) 272-6610
- **Practice address fax:** (713) 272-3767
- **Mailing address:** 6065 HILLCROFT ST STE 109, HOUSTON, TX 77081-1005
- **Mailing address phone:** (713) 272-6610
- **Mailing address fax:** (713) 272-3767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0059512 | TX | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020