# OCCUPATIONAL AND REHABILITATION SERVICE

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

## Provider details

- **NPI number:** 1144846791
- **Authorized official:** CHRISTINA BARRETT CREDENTIALER (COORDINATOR)
- **Authorized official phone:** (817) 573-9800

## Contact information

- **Practice address:** 2040 NORTH LOOP W STE 330, HOUSTON, TX 77018-8114
- **Practice address phone:** (713) 884-8180
- **Practice address fax:** (713) 583-1997
- **Mailing address:** 2040 NORTH LOOP W STE 330, HOUSTON, TX 77018-8114
- **Mailing address phone:** (713) 884-8180
- **Mailing address fax:** (713) 583-1997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/19/2020
- **Last updated:** 06/19/2020