| Southern Neuro Rehab Institiute, Pllc | |
|
3430 W Wheatland Rd Suite 107 Dallas TX 75237-3446 | |
| (972) 572-4000 | |
| (972) 572-3992 |
| Full Name | Southern Neuro Rehab Institiute, Pllc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 3430 W Wheatland Rd, Dallas, Texas |
| Authorized Official Name and Position | Chiufang Hwang (ADMINISTRATOR) |
| Authorized Official Contact | 9725724000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Neuro Rehab Institiute, Pllc 3430 W Wheatland Rd Suite 107 Dallas TX 75237-3446 Ph: (972) 572-4000 | Southern Neuro Rehab Institiute, Pllc 3430 W Wheatland Rd Suite 107 Dallas TX 75237-3446 Ph: (972) 572-4000 |
| NPI Number | 1760411847 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760411847 | NPI | - | NPPES |
| 162297901 | Medicaid | TX | |
| 0082KP | Other | TX | BLUE CROSS BLUE SHIELD TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | J0839 (Texas) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | J0839 (Texas) | Primary |
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