Provider Demographics
NPI:1710316997
Name:REHABILITATION MEDICINE CONSULTANTS PLLC
Entity Type:Organization
Organization Name:REHABILITATION MEDICINE CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:AGANA
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:281-419-3366
Mailing Address - Street 1:PO BOX 8945
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77387-8945
Mailing Address - Country:US
Mailing Address - Phone:281-419-3366
Mailing Address - Fax:281-419-2233
Practice Address - Street 1:24727 TOMBALL PKWY
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-7877
Practice Address - Country:US
Practice Address - Phone:281-419-3366
Practice Address - Fax:281-419-2233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty