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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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