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Organization
PHYSIATRY SERVICES INC
Active
Organization
PHYSIATRY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA SMALL MD (OWNER)
(972) 351-2900
Entity
Organization
Contact information
Practice address
19468 SW COOMBS RD, CACHE, OK 73527-4824
(972) 351-2900
Mailing address
19468 SW COOMBS RD, CACHE, OK 73527-4824
(972) 351-2900
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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