# PHYSICAL MEDICINE AND REHABILITATION ASSOCIATES OF EL PASO, P.A.

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

## Provider details

- **NPI number:** 1306867890
- **Authorized official:** KEVIN J SANDBERG M.D. (OFFICER)
- **Authorized official phone:** (915) 598-8120

## Contact information

- **Practice address:** 1397 GEORGE DIETER DR STE D, EL PASO, TX 79936-7410
- **Practice address phone:** (915) 598-8120
- **Practice address fax:** (915) 598-8121
- **Mailing address:** PO BOX 26217, EL PASO, TX 79926-6217
- **Mailing address phone:** (915) 598-8120
- **Mailing address fax:** (915) 598-8121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | H6574 | TX | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 09/10/2018
