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Organization

NEURO REHAB ASSOCIATES PA

Active
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Organization

NEURO REHAB ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINA DAVIDOVICH (DIRECTOR)
(817) 421-9111
Entity
Organization

Contact information

Practice address
680 N CARROLL AVE, SUITE 120, SOUTHLAKE, TX 76092-6467
(817) 421-9111
(817) 421-9222
Mailing address
PO BOX 92248, SOUTHLAKE, TX 76092-0103
(817) 421-9111
(817) 421-9222

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
E5103
TX

Other

Enumeration date
09/18/2007
Last updated
09/18/2007
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