REHAB 2112 LLC NPI 1093865081

NPI Information

NPI: 1093865081
Provider Name: REHAB 2112, LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
718 N BUCKNER BLVD STE 138
DALLAS, TX
ZIP 75218
Phone: (214) 367-8807
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REHAB 2112, LLC is a rehabilitation clinic center in Dallas, TX. REHAB 2112, LLC NPI is 1093865081. The provider is registered as an organization entity type.

The provider's business location address is:

718 N BUCKNER BLVD STE 138
DALLAS, TX
ZIP 75218-764
Phone: (214) 367-8807
Fax: (214) 367-8864

The provider's authorized official is Thomas Rhudy .
The authorized official title is Chief Of Staff and has the following contact phone number (214) 378-4499.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 8/22/2020.

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
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

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: 11/14/2023

NPI Synchronization or Removal

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