Organization
EAST TEXAS NEURO REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAJAL BUENAFLOR MINGUEZ PT (OWNER/DIRECTOR)
(936) 634-4282
Entity
Organization
Contact information
Practice address
609 ELLIS AVE, LUFKIN, TX 75904-3820
(936) 634-4282
(936) 634-4285
Mailing address
609 ELLIS AVE, LUFKIN, TX 75904-3820
(936) 634-4282
(936) 634-4285
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
08/22/2020
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