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Organization
TEXAS STAR REHAB AND PERFORMANCE CENTER, LLC
Active
Organization
TEXAS STAR REHAB AND PERFORMANCE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSHI SHAHIWALA PT (PRACTICE OWNER)
(201) 744-5549
Entity
Organization
Contact information
Practice address
3365 REGENT BLVD STE 130, IRVING, TX 75063-3127
(201) 744-5549
Mailing address
3365 REGENT BLVD, STE #130, IRVING, TX 75063-3127
(469) 647-4833
(469) 647-5179
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416780101
—
TX
05
—
416780102
—
TX
01
—
458058172
BCBS
TX
Enumeration date
07/20/2020
Last updated
07/09/2026
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