Organization
ADVANCED NEUROLOGICAL SERVICES
Active
Other names
ADVANCED THERAPY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BELINDA MCBAIN (DRO)
(817) 292-2208
Entity
Organization
Contact information
Practice address
2755 ALTA MESA BLVD, FORT WORTH, TX 76133-5803
(817) 292-2208
(817) 292-8021
Mailing address
2755 ALTA MESA BLVD, FORT WORTH, TX 76133-5803
(817) 292-2208
(817) 292-8021
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086GB
BCBS
TX
Enumeration date
05/31/2005
Last updated
08/22/2020
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