# GREATER AUSTIN REHAB PHYSICIANS PLLC

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

## Provider details

- **NPI number:** 1366945685
- **Authorized official:** MARY GONZALES (OWNER)
- **Authorized official phone:** (512) 775-1040

## Contact information

- **Practice address:** 919 E 32ND ST, AUSTIN, TX 78705-2703
- **Practice address phone:** (512) 775-1040
- **Mailing address:** 4906 STRASS DR, AUSTIN, TX 78731-5628

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2018
- **Last updated:** 03/13/2018