Organization
ADVANCED REHAB MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSHNI DURGAM MD (MEMBER)
(516) 729-5808
Entity
Organization
Contact information
Practice address
9119 HWY 6, SUITE 230, #127, MISSOURI CITY, TX 77479
(516) 729-5808
Mailing address
9119 HWY 6, SUITE 230, #127, MISSOURI CITY, TX 77459
(516) 729-5808
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
R5541
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Q9529
TX
Other
Enumeration date
07/16/2018
Last updated
10/18/2018
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