Organization
HOUSTON FEDERAL PHYSICAL THERAPY AND REHABILITATION LLC
Active
Organization
HOUSTON FEDERAL PHYSICAL THERAPY AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WILLIS MD (OWNER/PROVIDER)
(214) 623-0550
Entity
Organization
Contact information
Practice address
15355 VANTAGE PKWY W STE 330, HOUSTON, TX 77032-1975
(281) 645-0563
(281) 645-0583
Mailing address
PO BOX 1347, ADDISON, TX 75001-1347
(866) 400-0476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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