Provider Demographics
NPI:1760404727
Name:NECHES REHABILITATION AND TESTING INC
Entity Type:Organization
Organization Name:NECHES REHABILITATION AND TESTING INC
Other - Org Name:HEALTH AND MEDICAL PRACTICE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:O'NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-832-4413
Mailing Address - Street 1:324 N 23RD ST
Mailing Address - Street 2:STE 201
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-2241
Mailing Address - Country:US
Mailing Address - Phone:409-839-4600
Mailing Address - Fax:409-833-0086
Practice Address - Street 1:324 N 23RD ST
Practice Address - Street 2:STE 201
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-2241
Practice Address - Country:US
Practice Address - Phone:409-839-4600
Practice Address - Fax:409-833-0086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111N0000X111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX081498002Medicaid
0099AUMedicare PIN