WEST TEXAS REHABILITATION CENTER NPI 1699804732

NPI Information

NPI: 1699804732
Provider Name: WEST TEXAS REHABILITATION CENTER

Doing Business As: REHAB SPORT CENTER

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
2074 ANTILLEY RD
SUITE 100
ABILENE, TX
ZIP 79606
Phone: (325) 437-1219
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WEST TEXAS REHABILITATION CENTER is a rehabilitation clinic center in Abilene, TX. WEST TEXAS REHABILITATION CENTER NPI is 1699804732. The provider is registered as an organization entity type.
The provider Is Doing Business As Rehab Sport Center.

The provider's business location address is:

2074 ANTILLEY RD
SUITE 100
ABILENE, TX
ZIP 79606-209
Phone: (325) 437-1219

The provider's authorized official is Tim Childs .
The authorized official title is Vp Of Finance and has the following contact phone number (325) 793-3400.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 10/23/2008.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	456501	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
2	137920805	MEDICAID	TEXAS

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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