Organization
VERNON HEALTHCARE PROVIDERS
Active
Other names
Vernon Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND WATT (MANAGING MEMBER)
(731) 267-2861
Entity
Organization
Contact information
Practice address
4301 HOSPITAL DR, VERNON, TX 76384-3135
(940) 552-2568
(940) 552-6256
Mailing address
4301 HOSPITAL DR, VERNON, TX 76384-3135
(940) 552-2568
(940) 552-6256
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
561710000
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
668850000
TX
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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