# SOUTHERN NEURO REHAB INSTITIUTE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Neuro Rehab Institiute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760411847
- **Authorized official:** CHIUFANG HWANG M.D. (ADMINISTRATOR)
- **Authorized official phone:** (972) 572-4000

## Contact information

- **Practice address:** 3430 W WHEATLAND RD, SUITE 107, DALLAS, TX 75237-3446
- **Practice address phone:** (972) 572-4000
- **Practice address fax:** (972) 572-3992
- **Mailing address:** 3430 W WHEATLAND RD, SUITE 107, DALLAS, TX 75237-3446
- **Mailing address phone:** (972) 572-4000
- **Mailing address fax:** (972) 572-3992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | J0839 | TX | Yes |
| 2084N0400X | Neurology Physician | J0839 | TX | — |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 01/29/2015