Provider Demographics
NPI:1235457821
Name:RUNG PEDIATRICS REHABILITATION, LP
Entity Type:Organization
Organization Name:RUNG PEDIATRICS REHABILITATION, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BHAVNA (BOBBIE)
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:713-859-5928
Mailing Address - Street 1:7518 GUINEVERE DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6190
Mailing Address - Country:US
Mailing Address - Phone:281-343-1771
Mailing Address - Fax:281-962-4135
Practice Address - Street 1:7518 GUINEVERE DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6190
Practice Address - Country:US
Practice Address - Phone:281-343-1771
Practice Address - Fax:281-962-4135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-07
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Single Specialty