Provider Demographics
NPI:1033260740
Name:NORTHWEST MEDICAL & REHAB CLINIC PA
Entity Type:Organization
Organization Name:NORTHWEST MEDICAL & REHAB CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALGILANI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-350-0504
Mailing Address - Street 1:2829 W NORTHWEST HWY
Mailing Address - Street 2:SUITE 904
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75220-6226
Mailing Address - Country:US
Mailing Address - Phone:214-350-0504
Mailing Address - Fax:214-350-0944
Practice Address - Street 1:2829 W NORTHWEST HWY
Practice Address - Street 2:SUITE 904
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-6219
Practice Address - Country:US
Practice Address - Phone:214-350-0504
Practice Address - Fax:214-350-0944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3419204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF34572Medicare UPIN