Provider Demographics
NPI:1609094960
Name:INJURY PAIN & REHABILITATION CENTER, INC
Entity Type:Organization
Organization Name:INJURY PAIN & REHABILITATION CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DINKER
Authorized Official - Middle Name:G
Authorized Official - Last Name:AMATYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-773-4348
Mailing Address - Street 1:720 SW MILITARY DR.
Mailing Address - Street 2:SUITE # B
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224
Mailing Address - Country:US
Mailing Address - Phone:210-928-0361
Mailing Address - Fax:
Practice Address - Street 1:720 SW MILITARY DR.
Practice Address - Street 2:SUITE # B
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224
Practice Address - Country:US
Practice Address - Phone:210-928-0361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty