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XTREME MEDICAL REHAB NPI 1043755457


NPI Information

NPI: 1043755457
Provider Name: XTREME MEDICAL REHAB

Doing Business As: DFW MEDICAL PAIN & REHAB

Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
1710 RUFE SNOW DR
120
KELLER, TX
ZIP 76248
Phone: (817) 656-1615
Get Directions

XTREME MEDICAL REHAB is a sports medicine family medicine in Keller, TX. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. XTREME MEDICAL REHAB NPI is 1043755457. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dfw Medical Pain & Rehab.

The provider's business location address is:

1710 RUFE SNOW DR
120
KELLER, TX
ZIP 76248-745
Phone: (817) 656-1615
Fax: (817) 428-0573

The provider's authorized official is Jason Wander .
The authorized official title is President and has the following contact phone number (817) 656-1615.

The enumeration date for this NPI number is 12/21/2016 and was last updated on 12/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineN6762TEXASNo
2207QS0010XFamily MedicineSports MedicineN6762TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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