# ADVANCED REHAB MEDICINE, PLLC

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

## Provider details

- **NPI number:** 1063998706
- **Authorized official:** DR. ROSHNI DURGAM MD (MEMBER)
- **Authorized official phone:** (516) 729-5808

## Contact information

- **Practice address:** 9119 HWY 6, SUITE 230, \#127, MISSOURI CITY, TX 77479
- **Practice address phone:** (516) 729-5808
- **Mailing address:** 9119 HWY 6, SUITE 230, \#127, MISSOURI CITY, TX 77459
- **Mailing address phone:** (516) 729-5808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | R5541 | TX | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | Q9529 | TX | — |

## Other

- **Enumeration date:** 07/16/2018
- **Last updated:** 10/18/2018