Organization
REHABILITATION MEDICINE SPECIALISTS
Active
Other names
SpineAbilene
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER A SMITH (FACILITY MANAGER)
(325) 795-1888
Entity
Organization
Contact information
Practice address
1888 ANTILLEY RD, ABILENE, TX 79606-5205
(325) 795-1888
(325) 795-9537
Mailing address
1888 ANTILLEY RD, ABILENE, TX 79606-5205
(325) 795-1888
(325) 795-9537
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J2508
TX
174400000X
Specialist
Primary
J2625
TX
174400000X
Specialist
M3408
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J94H
BCBS
TX
01
—
5779430
AETNA
TX
01
—
CS3605
MEDICARE RR
TX
Enumeration date
06/19/2006
Last updated
03/13/2008
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