# THERAREHAB AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TheraRehab DME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174412761
- **Authorized official:** MARK ANTHONY RODRIGUEZ (OWNER)
- **Authorized official phone:** (915) 276-0355

## Contact information

- **Practice address:** 4300 N CENTRAL EXPY STE 325, DALLAS, TX 75206-6507
- **Practice address phone:** (469) 249-6507
- **Practice address fax:** (469) 249-3510
- **Mailing address:** 4740 14TH ST STE T3, PLANO, TX 75074-7318
- **Mailing address phone:** (469) 249-9948
- **Mailing address fax:** (469) 249-3510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2025
- **Last updated:** 06/30/2025