Organization
INTEGRATIVE REHABILITATION, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERONICA R BOND M.D. (OWNER)
(972) 921-9495
Entity
Organization
Contact information
Practice address
3200 MATLOCK RD, ARLINGTON, TX 76015
(817) 468-4000
Mailing address
P O BOX 678625, DALLAS, TX 75267-8625
(817) 284-9850
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M7865
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0054TA
BCBS
TX
Enumeration date
07/03/2009
Last updated
07/27/2018
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