Organization
FUNCTIONAL RESTORATION SERVICES OF TEXAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL VICTOR BODIN (PROGRAM DIRECTOR/OWNER)
(713) 962-4377
Entity
Organization
Contact information
Practice address
11275 S SAM HOUSTON PKWY W, SUITE 150, HOUSTON, TX 77031-2357
(832) 328-4545
(832) 328-4548
Mailing address
11275 S SAM HOUSTON PKWY W, SUITE 150, HOUSTON, TX 77031-2357
(832) 328-4545
(832) 328-4548
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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