Organization
A PLUS PEDIATRIC REHAB, INC.
Active
Other names
A Plus Pediatrics Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED GHANNAM (CEO)
(210) 448-9111
Entity
Organization
Contact information
Practice address
9514 CONSOLE DRIVE, SUITE 102, SAN ANTONIO, TX 78229-2042
(210) 448-9111
(210) 308-9595
Mailing address
9514 CONSOLE DRIVE, SUITE 102, SAN ANTONIO, TX 78229-2042
(210) 448-9111
(210) 308-9595
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
663890000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3132839-01
—
TX
Enumeration date
03/27/2009
Last updated
08/02/2022
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