Organization
DFW INTEGRATIVE REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MERLYN VELADOR (CREDENTIALING/INSURANCE COOR)
(817) 498-8449
Entity
Organization
Contact information
Practice address
470 W HARWOOD RD, HURST, TX 76054-2939
(817) 498-8449
(817) 281-4829
Mailing address
470 W HARWOOD RD, HURST, TX 76054-2939
(817) 498-8449
(817) 281-4829
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
684950000
EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
11/20/2018
Last updated
07/26/2024
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