# ASCEND REHAB LLC

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

## Provider details

- **NPI number:** 1346641727
- **Authorized official:** STUART D SMALL M.D. (OWNER)
- **Authorized official phone:** (972) 989-6495

## Contact information

- **Practice address:** 1330 E 8TH ST, 111, ODESSA, TX 79761-4702
- **Practice address phone:** (432) 332-4523
- **Mailing address:** PO BOX 515056, DALLAS, TX 75251-5056
- **Mailing address phone:** (432) 617-7463
- **Mailing address fax:** (972) 960-9997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 09/04/2014
- **Last updated:** 10/26/2015