Organization
NORTH TEXAS ELECTRODIAGNOSTICS AND REHABILITATION PA
Active
Other names
Definitive Rehab and Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER LOURAINE STEVENS (BUSINESS MANAGER)
(972) 576-2920
Entity
Organization
Contact information
Practice address
307 E OVILLA RD STE 600, RED OAK, TX 75154-3896
(972) 576-2920
(972) 617-3930
Mailing address
307 E OVILLA RD, SUITE 600, RED OAK, TX 75154-3898
(972) 576-2920
(972) 617-3930
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J4489
TX
Other
Enumeration date
01/11/2007
Last updated
10/09/2013
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