Organization
CAPROCK SPORTS REHABILITATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN WILLIAMS (PRACTICE MANAGEMENT CONSULTING)
(806) 771-1166
Entity
Organization
Contact information
Practice address
4712 67TH ST, SUITE A, LUBBOCK, TX 79414-5004
(806) 795-2673
Mailing address
4712 67TH ST, SUITE A, LUBBOCK, TX 79414-5004
(806) 795-2673
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
1136992
TX
Other
Enumeration date
08/20/2006
Last updated
01/29/2008
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