Provider Demographics
NPI:1578328894
Name:THE REHAB BY RESCUEMD
Entity Type:Organization
Organization Name:THE REHAB BY RESCUEMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUBUKOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKORO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-390-7667
Mailing Address - Street 1:945 STOCKTON DR UNIT 6100
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6158
Mailing Address - Country:US
Mailing Address - Phone:972-390-7667
Mailing Address - Fax:
Practice Address - Street 1:945 STOCKTON DR UNIT 4130
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6154
Practice Address - Country:US
Practice Address - Phone:972-450-5844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESCUEMD PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities