# TEXAS REHAB LLC

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

## Provider details

- **NPI number:** 1699277848
- **Authorized official:** EMMA CULL (CLINIC DIRECTOR)
- **Authorized official phone:** (678) 469-5011

## Contact information

- **Practice address:** 12603 SOUTHWEST FWY STE 600, STAFFORD, TX 77477-3838
- **Practice address phone:** (832) 509-8089
- **Practice address fax:** (832) 553-3172
- **Mailing address:** 12603 SOUTHWEST FWY STE 600, STAFFORD, TX 77477-3838
- **Mailing address phone:** (832) 509-8089
- **Mailing address fax:** (832) 553-3172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 1790185940 | TX | Yes |

## Other

- **Enumeration date:** 03/04/2018
- **Last updated:** 03/04/2018