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Organization
PAIN MANAGEMENT JOINT VENTURE, LLP
Active
Organization
PAIN MANAGEMENT JOINT VENTURE, LLP
Active
Other names
Centre Of Rehabilitation Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY HALE (DIR OF OPERATIONS)
(903) 753-6635
Entity
Organization
Contact information
Practice address
123 N MAIN ST., LONE STAR, TX 75668
(903) 656-2419
(903) 656-2350
Mailing address
3206 N 4TH ST, LONGVIEW, TX 75605-5143
(903) 753-6635
(903) 753-1114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
TX
225X00000X
Occupational Therapist
Primary
5500600000
TX
Other
Enumeration date
10/06/2006
Last updated
09/11/2025
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