Organization
NORTH CENTRAL TEXAS PHYSICAL MEDICINE & REHABILITATION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L CAIRE MD (OWNER)
(214) 619-5425
Entity
Organization
Contact information
Practice address
4461 COIT RD, SUITE 301, FRISCO, TX 75035-0521
(214) 619-5425
(214) 619-5427
Mailing address
9720 COIT RD # 220-262, PLANO, TX 75025-5833
(214) 619-5425
(214) 619-5427
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080KZ
BCBS GROUP NUMBER
TX
05
—
164699401
—
TX
01
—
DC9032
MEDICARE RR GROUP NUMBER
—
Enumeration date
05/15/2006
Last updated
12/01/2010
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