Organization
TEXOMA REHAB PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UMU-KULTHUM AL-MAAWY D.O (PHYSIATRIST)
(972) 533-7124
Entity
Organization
Contact information
Practice address
3901 ARMORY RD, WICHITA FALLS, TX 76302-2204
(940) 720-5700
Mailing address
3901 ARMORY RD, WICHITA FALLS, TX 76302-2204
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
Q9105
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619310661
PIN
TX
Enumeration date
10/18/2016
Last updated
10/18/2016
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