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Organization
ROCKPORT PHYSICAL MEDICINE PA
Active
Organization
ROCKPORT PHYSICAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON KOURI MD (OWNER)
(817) 527-1492
Entity
Organization
Contact information
Practice address
2011 HIGHWAY 35 N, ROCKPORT, TX 78382-3302
(361) 729-2225
(361) 729-2483
Mailing address
2011 HIGHWAY 35 N, ROCKPORT, TX 78382-3302
(361) 729-2225
(361) 729-2483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E7Z8
BCBS
TX
05
—
388692101
—
TX
Enumeration date
04/19/2016
Last updated
05/21/2025
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