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Organization

BAY OUTPATIENT REHAB CLINIC LLC

Active
Other names
Doctors At Home
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN STREIFERD (DIRECTOR OF OPERATIONS)
(817) 578-8300
Entity
Organization

Contact information

Practice address
1121 W MAGNOLIA AVE, FORT WORTH, TX 76104-4435
(817) 453-1844
(817) 332-1151
Mailing address
1121 W MAGNOLIA AVE, FORT WORTH, TX 76104-4435
(817) 453-1844
(817) 332-1151

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
207VG0400X
Gynecology Physician
Primary
363A00000X
Physician Assistant
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner

Other

Enumeration date
09/22/2006
Last updated
09/11/2025
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