# TEXOMA REHAB PLLC

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

## Provider details

- **NPI number:** 1679022404
- **Authorized official:** CHRISTY CICALLA (ADMIN)
- **Authorized official phone:** (940) 642-1926

## Contact information

- **Practice address:** 2800 W 15TH ST, PLANO, TX 75075-7526
- **Practice address phone:** (972) 612-9000
- **Mailing address:** PO BOX 4049, WICHITA FALLS, TX 76308-0049
- **Mailing address phone:** (940) 642-1926
- **Mailing address fax:** (940) 569-9829

## Taxonomy

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

## Other

- **Enumeration date:** 09/21/2016
- **Last updated:** 08/21/2024