Organization
ST. DAVID'S PHYSICAL MEDICINE AND REHABILITATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN REBOK (VICE PRESIDENT)
(512) 708-9700
Entity
Organization
Contact information
Practice address
1015 E 32ND ST, SUITE 306, AUSTIN, TX 78705-2707
(512) 236-1310
(512) 236-6963
Mailing address
98 SAN JACINTO BLVD, SUITE 1800, AUSTIN, TX 78701-4082
(512) 708-9700
(512) 482-4191
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
—
—
Other
Enumeration date
08/07/2009
Last updated
08/05/2011
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