Organization
CAPITAL REHABILITATION ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSEANNA L JACKSON-PAREKH MD (OWNER)
(512) 363-5779
Entity
Organization
Contact information
Practice address
700 W 45TH ST, AUSTIN, TX 78751-2800
(512) 363-5779
(512) 292-4458
Mailing address
PO BOX 161242, AUSTIN, TX 78716-1242
(512) 363-5779
(512) 292-4458
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N0126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386807832
INDIVIDUAL NPI NUMBER
TX
Enumeration date
09/19/2008
Last updated
01/10/2022
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