# PMST RED OAK, LLC

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

## Provider details

- **NPI number:** 1356869630
- **Authorized official:** MRS. COURTNEY TEAL DARDEN (CEO)
- **Authorized official phone:** (972) 473-8980

## Contact information

- **Practice address:** 100 BONHAM CT STE A, RED OAK, TX 75154-4665
- **Practice address phone:** (972) 473-8980
- **Practice address fax:** (972) 212-6851
- **Mailing address:** 6001 WINDHAVEN PKWY STE 210, PLANO, TX 75093-8022
- **Mailing address phone:** (972) 473-8980
- **Mailing address fax:** (972) 212-6851

## Taxonomy

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

## Other

- **Enumeration date:** 09/06/2017
- **Last updated:** 09/06/2017