Organization
EL DORADO REHABILITATION SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA ALFONSO MD (OWNER)
(870) 863-7900
Entity
Organization
Contact information
Practice address
704 S TIMBERLANE DR, SUITE 11, EL DORADO, AR 71730-6929
(870) 863-7900
(870) 863-7901
Mailing address
PO BOX 9600, DEPARTMENT 09012, TEXARKANA, TX 75505-9600
(870) 863-7900
(870) 863-7901
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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