Organization
ASCEND REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART D SMALL M.D. (OWNER)
(972) 989-6495
Entity
Organization
Contact information
Practice address
1330 E 8TH ST, 111, ODESSA, TX 79761-4702
(432) 332-4523
Mailing address
PO BOX 515056, DALLAS, TX 75251-5056
(432) 617-7463
(972) 960-9997
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
10/26/2015
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