Provider Demographics
NPI:1508037367
Name:ADVANCED HEALTH & REHAB CENTER, P.C.
Entity Type:Organization
Organization Name:ADVANCED HEALTH & REHAB CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-540-2225
Mailing Address - Street 1:1420 FM 1960 BYPASS RD E
Mailing Address - Street 2:SUITE 122
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-3934
Mailing Address - Country:US
Mailing Address - Phone:281-540-2225
Mailing Address - Fax:281-540-2621
Practice Address - Street 1:1420 FM 1960 BYPASS RD E
Practice Address - Street 2:SUITE 122
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3934
Practice Address - Country:US
Practice Address - Phone:281-540-2225
Practice Address - Fax:281-540-2621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty