Organization
REGENCY REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALAISH PATHAK (PROGRAM DIRECTOR)
(713) 480-7088
Entity
Organization
Contact information
Practice address
7633 BELLFORT AVE, HOUSTON, TX 77061
(713) 644-2101
(713) 644-8324
Mailing address
21018 KELLIWOOD GROVE LN, KATY, TX 77450-6808
(713) 644-2101
(713) 644-8324
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160905901
—
TX
Enumeration date
03/03/2006
Last updated
07/16/2008
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