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Organization
NISAL CORPORATION
Active
Organization
NISAL CORPORATION
Active
Other names
QUALCARE REHABILITATION
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN MANZO (CREDENTIALING MANAGER)
(713) 378-0667
Entity
Organization
Contact information
Practice address
2918 SAN JACINTO ST, SUITE 200, HOUSTON, TX 77004-2708
(713) 652-3145
(713) 652-3146
Mailing address
PO BOX 24809, HOUSTON, TX 77229-4809
(713) 378-0667
(832) 242-9515
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
111NX0100X
Occupational Health Chiropractor
—
—
2083X0100X
Occupational Medicine Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/09/2010
Last updated
12/01/2011
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