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Organization

TEXAS PHYSICAL MEDICINE AND REHABILITATION CENTER, INC.

Active
Other names
The Health Center at Laprada
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER EDOMWANDE (PRESIDENT / CEO)
(214) 319-0006
Entity
Organization

Contact information

Practice address
4915 GUS THOMASSON RD, MESQUITE, TX 75150-1061
(214) 319-0006
(214) 319-9889
Mailing address
4915 GUS THOMASSON RD, MESQUITE, TX 75150-1061
(214) 319-0006
(214) 319-9889

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
F005818
TX

Other

Enumeration date
05/21/2008
Last updated
05/21/2008
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