Organization
NISAL CORP.
Active
Other names
QUALCARE REHABILITATION
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN L. MANZO (CREDENTIALING COORDINATOR)
(713) 378-0667
Entity
Organization
Contact information
Practice address
10934 EAST FWY, HOUSTON, TX 77029-1959
(713) 450-2838
(713) 450-2843
Mailing address
PO BOX 24809, HOUSTON, TX 77229-4809
(713) 378-0667
(713) 300-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
9330
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9330
TX
Other
Enumeration date
06/01/2011
Last updated
12/15/2011
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