# NEUROMUSCULOSKELETAL REHABILITATION MEDICINE CONSULTANT

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

## Provider details

- **NPI number:** 1265495816
- **Authorized official:** LISA M LEE (VP OPERATIONS)
- **Authorized official phone:** (817) 284-9850

## Contact information

- **Practice address:** 3600 MAPLESHADE LN, PLANO, TX 75075-5715
- **Practice address phone:** (972) 849-0164
- **Practice address fax:** (972) 999-4634
- **Mailing address:** 7750 N MACARTHUR BLVD, STE 120-338, IRVING, TX 75063-7514
- **Mailing address phone:** (817) 284-9850
- **Mailing address fax:** (949) 863-6838

## Taxonomy

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

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 11/25/2024