Provider Demographics
NPI:1578791059
Name:METROPLEX DFW SPORTS REHAB CENTERS INC
Entity Type:Organization
Organization Name:METROPLEX DFW SPORTS REHAB CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:STERNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-937-4144
Mailing Address - Street 1:1037 W HIGHWAY 287 BYP
Mailing Address - Street 2:SUITE B
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-5001
Mailing Address - Country:US
Mailing Address - Phone:972-937-4144
Mailing Address - Fax:972-937-4153
Practice Address - Street 1:1037 W HIGHWAY 287 BYP
Practice Address - Street 2:SUITE B
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-5001
Practice Address - Country:US
Practice Address - Phone:972-937-4144
Practice Address - Fax:972-937-4153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation