Organization
BIG COUNTRY REHABILITATION INC
Active
Other names
Rebound Sports & Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES B SMITH (ADMINISTRATOR)
(903) 462-4085
Entity
Organization
Contact information
Practice address
1710 S CLACK ST, ABILENE, TX 79605-4611
(325) 691-0093
(325) 691-0062
Mailing address
1710 S CLACK ST, ABILENE, TX 79605-4611
(325) 691-0093
(325) 691-0062
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
1057495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021719201
—
TX
01
—
80221T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/30/2005
Last updated
10/23/2025
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