Provider Demographics
NPI:1306182290
Name:REHABILITATION AND ELECTRODIAGNOSTICS PLLC
Entity Type:Organization
Organization Name:REHABILITATION AND ELECTRODIAGNOSTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:MCINTYRE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:713-838-0800
Mailing Address - Street 1:25 CAPEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77381-2606
Mailing Address - Country:US
Mailing Address - Phone:713-838-0800
Mailing Address - Fax:713-838-0887
Practice Address - Street 1:25 CAPEWOOD CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77381-2606
Practice Address - Country:US
Practice Address - Phone:713-838-0800
Practice Address - Fax:713-838-0887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-20
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty