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MISSION REHABILITATION SERVICES NPI 1962495580


NPI Information

NPI: 1962495580
Provider Name: MISSION REHABILITATION SERVICES
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1901 W LOOP 289
SUITE 3
LUBBOCK, TX
ZIP 79407
Phone: (806) 792-7125
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MISSION REHABILITATION SERVICES is a clinic center in Lubbock, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MISSION REHABILITATION SERVICES NPI is 1962495580. The provider is registered as an organization entity type.

The provider's business location address is:

1901 W LOOP 289
SUITE 3
LUBBOCK, TX
ZIP 79407-713
Phone: (806) 792-7125
Fax: (806) 792-7121

The provider's authorized official is Cecilia Mitchell .
The authorized official title is Owner / Physical Therapist and has the following contact phone number (806) 792-7125.

The enumeration date for this NPI number is 8/30/2005 and was last updated on 8/1/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center629990000TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100023SMEDICARE OSCAR/CERTIFICATIONTEXAS
2155968401MEDICAIDTEXAS

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

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