Organization
DORA ROBERTS REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY PHILLIPS (EXECUTIVE DIRECTOR)
(432) 267-3806
Entity
Organization
Contact information
Practice address
306 W 3RD ST, BIG SPRING, TX 79720-2429
(432) 267-3806
(432) 267-3809
Mailing address
306 W 3RD ST, BIG SPRING, TX 79720-2429
(432) 267-3806
(432) 267-3809
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L09G
MEDICARE B
TX
Enumeration date
06/08/2005
Last updated
08/22/2020
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