Provider Demographics
NPI:1558973842
Name:PARAMOUNT MEDICAL REHABILITATION LLC
Entity Type:Organization
Organization Name:PARAMOUNT MEDICAL REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:GUERREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-547-6856
Mailing Address - Street 1:8585 N. STEMMONS FREEWAY STE. 107-S
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247
Mailing Address - Country:US
Mailing Address - Phone:214-547-6856
Mailing Address - Fax:214-459-3709
Practice Address - Street 1:8585 NORTH STEMMONS FREEWAY STE 107-S
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247
Practice Address - Country:US
Practice Address - Phone:214-547-6856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation