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Organization
MEDICAL REHABILITATION CLINIC OF MESQUITE, INC
Active
Organization
MEDICAL REHABILITATION CLINIC OF MESQUITE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE EMEKA OKECHUKU M.D. (MEDICAL DIRECTOR)
(972) 279-7377
Entity
Organization
Contact information
Practice address
9205 SKILLMAN ST, SUITE 117, DALLAS, TX 75243-9031
(972) 279-7377
(214) 349-7200
Mailing address
9205 SKILLMAN ST, SUITE 117, DALLAS, TX 75243-9031
(972) 279-7377
(214) 349-7200
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
L0888
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
L0888
—
Other
Enumeration date
06/23/2013
Last updated
06/23/2013
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