Organization
ADVANCED MEDICINE & REHABILITATION OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIDEH HEIDARPOUR (OWNER)
(214) 696-2273
Entity
Organization
Contact information
Practice address
5510 ABRAMS RD # 112, DALLAS, TX 75214-2000
(214) 696-2273
Mailing address
PO BOX 31223, EDMOND, OK 73003-0021
(214) 696-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H8719
TX
207X00000X
Orthopaedic Surgery Physician
Primary
G4220
TX
208VP0000X
Pain Medicine Physician
D1711
TX
225X00000X
Occupational Therapist
100390
TX
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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