# TOTAL RECOVERY PHYSICAL MODALITY, PC

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

## Provider details

- **NPI number:** 1902195373
- **Authorized official:** MS. HAZEL RUTH ROBERTS (MANAGER)
- **Authorized official phone:** (214) 325-9508

## Contact information

- **Practice address:** 3007 CAROLINE ST, HOUSTON, TX 77004-2822
- **Practice address phone:** (214) 325-9508
- **Practice address fax:** (713) 533-1408
- **Mailing address:** 3007 CAROLINE ST, HOUSTON, TX 77004-2822
- **Mailing address phone:** (214) 325-9508
- **Mailing address fax:** (713) 533-1408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | K5571 | TX | Yes |

## Other

- **Enumeration date:** 04/06/2011
- **Last updated:** 04/06/2011