Organization
TOTAL RECOVERY PHYSICAL MODALITY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HAZEL RUTH ROBERTS (MANAGER)
(214) 325-9508
Entity
Organization
Contact information
Practice address
3007 CAROLINE ST, HOUSTON, TX 77004-2822
(214) 325-9508
(713) 533-1408
Mailing address
3007 CAROLINE ST, HOUSTON, TX 77004-2822
(214) 325-9508
(713) 533-1408
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
K5571
TX
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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