Angie Physical Medicine And Rehabilitation Center
Specialist in Angie, LA. Organization (NPI-2).
NPI number1003090366
StatusActive
Last updated in NPPESDec 21, 2007
Details
- NPI
- 1003090366
- Entity type
- Organization (NPI-2)
- Legal business name
- Angie Physical Medicine And Rehabilitation Center
- Organization subpart
- No
- Enumeration date
- Dec 21, 2007
- Last updated
- Dec 21, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
22653 Highway 21Angie, LA 70426
Phone 713-894-3576 · Fax 713-928-3488
Mailing address
22653 Highway 21Angie, LA 70426
Phone 713-894-3576 · Fax 713-928-3488
Authorized official
Otis Lee Wells
General Manager
7138943576
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