Organization
WEST TEXAS REHABILITATION CENTER
Active
Other names
Rehab Sport Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIM CHILDS (VP OF FINANCE)
(325) 793-3400
Entity
Organization
Contact information
Practice address
2074 ANTILLEY RD, SUITE 100, ABILENE, TX 79606-5209
(325) 437-1219
Mailing address
4601 HARTFORD ST, ABILENE, TX 79605-4603
(325) 793-3400
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137920805
—
TX
Enumeration date
03/05/2007
Last updated
10/23/2008
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