Organization
PRODUCTIVE REHAB GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVAUGHN VINSON (P.T.A.)
(210) 386-9936
Entity
Organization
Contact information
Practice address
5033 KENTON ROYALLE, SAN ANTONIO, TX 78240-1559
(210) 386-9936
Mailing address
PO BOX 300967, HOUSTON, TX 77230-0967
(210) 386-9936
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2042778
TX
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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