Organization
AVIATOR REHAB SPECIALISTS LLC
Active
Other names
Aviator Sports Performance & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL HAAS (ACCOUNTS & OPERATIONS SENIOR EXEC)
(972) 961-4920
Entity
Organization
Contact information
Practice address
6151 COUNTY ROAD 124, MCKINNEY, TX 75071-4837
(972) 645-1833
(972) 645-1834
Mailing address
9500 RAY WHITE RD STE 200, FORT WORTH, TX 76244-9105
(972) 961-4920
(469) 250-8488
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686000000
EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
09/27/2019
Last updated
12/15/2020
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