| Pni Rehab Centers, Llc | |
|
363 W Main St Lewisville TX 75057-3867 | |
| (972) 436-4434 | |
| (972) 436-3182 |
| Full Name | Pni Rehab Centers, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 363 W Main St, Lewisville, Texas |
| Authorized Official Name and Position | Matthew Joseph Degaetano (CEO) |
| Authorized Official Contact | 9724364434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pni Rehab Centers, Llc 363 W Main St Lewisville TX 75057-3867 Ph: (972) 436-4434 | Pni Rehab Centers, Llc 363 W Main St Lewisville TX 75057-3867 Ph: (972) 436-4434 |
| NPI Number | 1801817622 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 09/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801817622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 9326 (Texas) | Primary |
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