Organization
ELITE REHAB & THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY WOOD (BILLING SPECIALIST)
(409) 392-5162
Entity
Organization
Contact information
Practice address
11187 WESTHEIMER RD, HOUSTON, TX 77042-3218
(346) 443-5483
Mailing address
11187 WESTHEIMER RD, HOUSTON, TX 77042-3218
(346) 443-5483
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32083691652
TAXPAYER IDENTIFICATION NUMBER
TX
Enumeration date
10/19/2022
Last updated
10/19/2022
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