Organization · NPI-2
Atx Rehab And Review PLLC
Physical Medicine & Rehabilitation · Austin, TX
NPI number1083392682
StatusActive
Last updated in NPPESJul 5, 2023
Details
- NPI
- 1083392682
- Entity type
- Organization (NPI-2)
- Legal business name
- Atx Rehab And Review PLLC
- Organization subpart
- No
- Enumeration date
- Jul 5, 2023
- Certification date
- Jun 21, 2023
- Last updated
- Jul 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
4207 Burnet RdAustin, TX 78756-3316
Phone 214-240-6236
Mailing address
Po Box 540088Houston, TX 77254-0088
Phone 832-831-6932
Authorized official
Deacon Staggs
Owner
1424062362
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