Organization
NEURO REHAB & LYPHMOEDEMA CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NANDA N AMBORE OTR,CLT-LANA (OWNER)
(432) 520-2859
Entity
Organization
Contact information
Practice address
2611 SUNBURST DR, MIDLAND, TX 79707-5111
(432) 520-2859
(432) 520-2861
Mailing address
2611 SUNBURST DR, MIDLAND, TX 79707-5111
(432) 520-2859
(432) 520-2861
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
552830000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170848901
—
TX
Enumeration date
02/18/2006
Last updated
08/14/2008
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