# AVIATOR REHAB SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aviator Sports Performance & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417508730
- **Authorized official:** MR. CARL HAAS (ACCOUNTS & OPERATIONS SENIOR EXEC)
- **Authorized official phone:** (972) 961-4920

## Contact information

- **Practice address:** 6151 COUNTY ROAD 124, MCKINNEY, TX 75071-4837
- **Practice address phone:** (972) 645-1833
- **Practice address fax:** (972) 645-1834
- **Mailing address:** 9500 RAY WHITE RD STE 200, FORT WORTH, TX 76244-9105
- **Mailing address phone:** (972) 961-4920
- **Mailing address fax:** (469) 250-8488

## Taxonomy

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

## Other

- **Enumeration date:** 09/27/2019
- **Last updated:** 12/15/2020