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Organization
MAINSTREAM REHABILITATION SERVICES OF TX
Active
Organization
MAINSTREAM REHABILITATION SERVICES OF TX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY WILCOX (RN/BSN)
(214) 727-9546
Entity
Organization
Contact information
Practice address
301 COMMERCE ST, AZLE, TX 76020-2438
(214) 727-9546
Mailing address
301 COMMERCE, AZLE, TX 76098
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
814047
TX
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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