Organization
PROFESSIONAL REHAB OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WILCOX RN (ADMINISTRATOR)
(281) 363-1005
Entity
Organization
Contact information
Practice address
318 BRIAR ROCK RD, THE WOODLANDS, TX 77380-3528
(281) 363-1005
(281) 292-2092
Mailing address
318 BRIAR ROCK RD, THE WOODLANDS, TX 77380-3528
(281) 363-1005
(281) 292-2092
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04566890
—
TX
Enumeration date
02/06/2007
Last updated
08/22/2020
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