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Organization

TEXAS REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMMA CULL (CLINIC DIRECTOR)
(678) 469-5011
Entity
Organization

Contact information

Practice address
12603 SOUTHWEST FWY STE 600, STAFFORD, TX 77477-3838
(832) 509-8089
(832) 553-3172
Mailing address
12603 SOUTHWEST FWY STE 600, STAFFORD, TX 77477-3838
(832) 509-8089
(832) 553-3172

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1790185940
TX

Other

Enumeration date
03/04/2018
Last updated
03/04/2018
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