Provider Demographics
NPI:1609469469
Name:BRAIN INJURY AND REHAB CENTERS OF TEXAS LLC
Entity Type:Organization
Organization Name:BRAIN INJURY AND REHAB CENTERS OF TEXAS LLC
Other - Org Name:SPINE AND JOINT INSTITUTE OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DHAWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-882-6742
Mailing Address - Street 1:2655 CORDES DR STE 150
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1462
Mailing Address - Country:US
Mailing Address - Phone:832-667-8132
Mailing Address - Fax:281-664-5899
Practice Address - Street 1:2655 CORDES DR STE 150
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1462
Practice Address - Country:US
Practice Address - Phone:832-667-8132
Practice Address - Fax:281-664-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-12
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty