Organization
ALL ABOUT REHAB LLC
Active
Other names
Pediatric Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA DIANE BEAVER CPA (OWNER)
(817) 377-2535
Entity
Organization
Contact information
Practice address
1836 SANTA FE DR, WEATHERFORD, TX 76086-6422
(817) 377-2535
(817) 292-0572
Mailing address
3550 HULEN ST, SUITE D, FORT WORTH, TX 76107-6885
(817) 377-2535
(817) 292-0572
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
67-6681
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000168-01
—
TX
01
—
85PQ
BCBS
—
Enumeration date
03/19/2007
Last updated
06/18/2013
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