Organization
WEST TEXAS REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM CHILDS (VP OF FINANCE)
(325) 793-3400
Entity
Organization
Contact information
Practice address
3001 S JACKSON ST, SAN ANGELO, TX 76904-5129
(325) 223-6300
Mailing address
4601 HARTFORD ST, ABILENE, TX 79605-4603
(325) 793-3400
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137920806
—
TX
Enumeration date
05/14/2007
Last updated
02/26/2018
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