Organization
THE RANCH SPORTS MEDICINE AND REHABILITATION CENTER
Active
Organization
THE RANCH SPORTS MEDICINE AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BELL STEPHENSON II P.T. (PRESIDENT)
(972) 401-4774
Entity
Organization
Contact information
Practice address
10010 N MACARTHUR BLVD, IRVING, TX 75063-5001
(972) 401-4774
(972) 401-0800
Mailing address
10010 N MACARTHUR BLVD, IRVING, TX 75063-5001
(972) 401-4774
(972) 401-0800
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1061596
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82672T
BCBS PROVIDER #
TX
Enumeration date
01/09/2007
Last updated
08/22/2020
Update your record
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