East Texas Neuro Rehab
Physical Therapist in Lufkin, TX. Organization (NPI-2).
NPI number1295762565
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1295762565
- Entity type
- Organization (NPI-2)
- Legal business name
- East Texas Neuro Rehab
- Organization subpart
- No
- Enumeration date
- Jun 26, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
609 Ellis AveLufkin, TX 75904-3820
Phone 936-634-4282 · Fax 936-634-4285
Mailing address
609 Ellis AveLufkin, TX 75904-3820
Phone 936-634-4282 · Fax 936-634-4285
Authorized official
Majal Buenaflor Minguez
Owner/Director
9366344282
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All 38 Physical Therapist providers in Lufkin · All 1,459 providers in Lufkin
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