# MOHAVE NEURO REHAB CONSUL PC

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

## Provider details

- **NPI number:** 1942291117
- **Authorized official:** DR. THOMAS J. PARKS MD (OWNER)
- **Authorized official phone:** (928) 681-6600

## Contact information

- **Practice address:** 1520 E HAMMER LN, STE 106, FORT MOHAVE, AZ 86426-6664
- **Practice address phone:** (928) 681-6600
- **Practice address fax:** (928) 681-6606
- **Mailing address:** 1520 E HAMMER LN, STE 106, FORT MOHAVE, AZ 86426-6664
- **Mailing address phone:** (928) 681-6600
- **Mailing address fax:** (928) 681-6606

## Taxonomy

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

## Other

- **Enumeration date:** 11/04/2005
- **Last updated:** 06/13/2008