Provider Demographics
NPI:1629485362
Name:METROPLEX CARE GROUP
Entity Type:Organization
Organization Name:METROPLEX CARE GROUP
Other - Org Name:METROPLEX REHABILITATION CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-580-7277
Mailing Address - Street 1:1412 MAIN ST STE 905
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75202-4080
Mailing Address - Country:US
Mailing Address - Phone:214-580-7277
Mailing Address - Fax:
Practice Address - Street 1:2701 S HAMPTON RD STE 104
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-2263
Practice Address - Country:US
Practice Address - Phone:214-330-9221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty