Organization
PROHEALTH REHAB & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC A RESASCO (PRESIDENT)
(480) 646-6004
Entity
Organization
Contact information
Practice address
4112 LEGACY DR STE 326, FRISCO, TX 75034-0811
(480) 646-6004
Mailing address
715FM 1959RD, 1009, HOUSTON, TX 77034
(480) 646-6004
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
TX
251E00000X
Home Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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