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Organization
ST. DAVID'S PHYSICAL MEDICINE AND REHABILITATION, PLLC
Active
Organization
ST. DAVID'S PHYSICAL MEDICINE AND REHABILITATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN REBOK (VICE PRESIDENT)
(512) 708-9700
Entity
Organization
Contact information
Practice address
1015 E 32ND ST, SUITE 306, AUSTIN, TX 78705-2707
(512) 236-1310
(512) 236-6963
Mailing address
98 SAN JACINTO BLVD, SUITE 1800, AUSTIN, TX 78701-4082
(512) 708-9700
(512) 482-4191
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
—
NULL
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
—
—
Other
Enumeration date
08/07/2009
Last updated
08/05/2011
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