Provider Demographics
NPI:1104037068
Name:GARLAND PHYSICAL MEDICINE CENTER
Entity Type:Organization
Organization Name:GARLAND PHYSICAL MEDICINE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-276-2225
Mailing Address - Street 1:2301 FOREST LN STE 100
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-7925
Mailing Address - Country:US
Mailing Address - Phone:972-276-2225
Mailing Address - Fax:972-276-2292
Practice Address - Street 1:2301 FOREST LN STE 100
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-7925
Practice Address - Country:US
Practice Address - Phone:972-276-2225
Practice Address - Fax:972-276-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH73542081H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081H0002XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationHospice and Palliative MedicineGroup - Single Specialty