Provider Demographics
NPI:1144770769
Name:RAMBLER PARK MEDICAL REHAB
Entity Type:Organization
Organization Name:RAMBLER PARK MEDICAL REHAB
Other - Org Name:BACK TO HEALTH PHYSICAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:DARROW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-361-9355
Mailing Address - Street 1:7557 RAMBLER RD
Mailing Address - Street 2:STE. 720
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4142
Mailing Address - Country:US
Mailing Address - Phone:214-361-9355
Mailing Address - Fax:214-361-5214
Practice Address - Street 1:7557 RAMBLER RD
Practice Address - Street 2:STE. 720
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4142
Practice Address - Country:US
Practice Address - Phone:214-361-9355
Practice Address - Fax:214-361-5214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty