Provider Demographics
NPI:1720560642
Name:VANGUARD REHABILITATION PHYSICIANS OF TEXAS, PA
Entity Type:Organization
Organization Name:VANGUARD REHABILITATION PHYSICIANS OF TEXAS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:ONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-259-2968
Mailing Address - Street 1:633 E FERNHURST DR STE 903
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1587
Mailing Address - Country:US
Mailing Address - Phone:713-259-2968
Mailing Address - Fax:877-830-9363
Practice Address - Street 1:633 E FERNHURST DR STE 903
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1587
Practice Address - Country:US
Practice Address - Phone:713-259-2968
Practice Address - Fax:877-830-9363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6487208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty