# CAPROCK SPORTS REHABILITATION CENTER, INC

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

## Provider details

- **NPI number:** 1679688535
- **Authorized official:** MR. BRYAN WILLIAMS (PRACTICE MANAGEMENT CONSULTING)
- **Authorized official phone:** (806) 771-1166

## Contact information

- **Practice address:** 4712 67TH ST, SUITE A, LUBBOCK, TX 79414-5004
- **Practice address phone:** (806) 795-2673
- **Mailing address:** 4712 67TH ST, SUITE A, LUBBOCK, TX 79414-5004
- **Mailing address phone:** (806) 795-2673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 1136992 | TX | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 01/29/2008