Provider Demographics
NPI:1942835723
Name:TEXAS REHAB AND WELLNESS GROUP LLC
Entity Type:Organization
Organization Name:TEXAS REHAB AND WELLNESS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TEJAS
Authorized Official - Middle Name:K
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:972-832-5256
Mailing Address - Street 1:1034 EVERGLADES DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5637
Mailing Address - Country:US
Mailing Address - Phone:972-832-5256
Mailing Address - Fax:972-694-0348
Practice Address - Street 1:4205 DALROCK RD
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-5301
Practice Address - Country:US
Practice Address - Phone:972-832-3525
Practice Address - Fax:972-694-0348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty