Provider Demographics
NPI:1790076578
Name:THE INJURY & REHABILITATION CENTER OF HOUSTON
Entity Type:Organization
Organization Name:THE INJURY & REHABILITATION CENTER OF HOUSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:FARRIS-NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-977-6767
Mailing Address - Street 1:8799 NORTH LOOP E STE 208
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-1200
Mailing Address - Country:US
Mailing Address - Phone:713-977-6767
Mailing Address - Fax:713-672-1224
Practice Address - Street 1:8799 NORTH LOOP E STE 208
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-1200
Practice Address - Country:US
Practice Address - Phone:713-977-6767
Practice Address - Fax:713-672-1224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF008485111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty