# ADOM REHAB AND PHYSICAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pain Aide Rehab and Physical Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265598734
- **Authorized official:** TINA O COLLINS DC (ADMINISTRATOR)
- **Authorized official phone:** (713) 776-0252

## Contact information

- **Practice address:** 10600 FONDREN RD, \#101, HOUSTON, TX 77096
- **Practice address phone:** (713) 776-0091
- **Practice address fax:** (713) 776-0093
- **Mailing address:** 10600 FONDREN RD, SUITE \#101, HOUSTON, TX 77096
- **Mailing address phone:** (713) 776-0252
- **Mailing address fax:** (713) 776-0093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC6816 | TX | — |
| 261QX0100X | Occupational Medicine Clinic/Center | F8454 | TX | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 08/19/2008