Provider Demographics
NPI:1508931155
Name:CARDIAC REHAB INC
Entity Type:Organization
Organization Name:CARDIAC REHAB INC
Other - Org Name:HEART OF THE HILLS OSTEOPOROSIS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:RECTOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-257-6322
Mailing Address - Street 1:PO BOX 291548
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78029-1548
Mailing Address - Country:US
Mailing Address - Phone:830-257-6322
Mailing Address - Fax:830-257-7200
Practice Address - Street 1:731 HILL COUNTRY DRIVE
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028
Practice Address - Country:US
Practice Address - Phone:830-257-6322
Practice Address - Fax:830-257-7200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471B0102XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistBone DensitometryGroup - Single Specialty
No293D00000XLaboratoriesPhysiological LaboratoryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CJ4105OtherRAILROAD MEDICARE
0014DCOtherBLUE CROSS BLUE SHIELD
1144293432OtherWILLIAM RECTOR, MD
0014DCOtherBLUE CROSS BLUE SHIELD