Provider Demographics
NPI:1679881981
Name:CONTINUUM REHABILITATION HOSPITAL OF NORTH TEXAS
Entity Type:Organization
Organization Name:CONTINUUM REHABILITATION HOSPITAL OF NORTH TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMASESKI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:214-513-0310
Mailing Address - Street 1:3100 PETERS COLONY
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022
Mailing Address - Country:US
Mailing Address - Phone:214-513-0310
Mailing Address - Fax:214-513-0329
Practice Address - Street 1:3100 PETERS COLONY
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022
Practice Address - Country:US
Practice Address - Phone:214-513-0310
Practice Address - Fax:214-513-0329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100082283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673047Medicare Oscar/Certification