Organization
GREATER HEALTH AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN TESSMAN DC (OWNER/PROVIDER)
(817) 641-9700
Entity
Organization
Contact information
Practice address
306 GRANBURY ST, SUITE B, CLEBURNE, TX 76033-4853
(817) 641-9700
(817) 641-8190
Mailing address
306 GRANBURY ST, SUITE B, CLEBURNE, TX 76033-4853
(817) 641-9700
(817) 641-8190
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
9660
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13QQ
BCBS
TX
01
—
DN8302
RR MEDICARE
TX
Enumeration date
11/28/2007
Last updated
12/30/2008
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