# EL DORADO REHABILITATION SERVICES, INC

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

## Provider details

- **NPI number:** 1538171996
- **Authorized official:** MAYRA ALFONSO MD (OWNER)
- **Authorized official phone:** (870) 863-7900

## Contact information

- **Practice address:** 704 S TIMBERLANE DR, SUITE 11, EL DORADO, AR 71730-6929
- **Practice address phone:** (870) 863-7900
- **Practice address fax:** (870) 863-7901
- **Mailing address:** PO BOX 9600, DEPARTMENT 09012, TEXARKANA, TX 75505-9600
- **Mailing address phone:** (870) 863-7900
- **Mailing address fax:** (870) 863-7901

## Taxonomy

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

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 08/22/2020