Provider Demographics
NPI:1013260108
Name:TEXAS WORK RECOVERY PLLC
Entity Type:Organization
Organization Name:TEXAS WORK RECOVERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ANKUR
Authorized Official - Middle Name:D
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:832-377-8620
Mailing Address - Street 1:5535 MEMORIAL DR
Mailing Address - Street 2:SUITE F-816
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-8021
Mailing Address - Country:US
Mailing Address - Phone:832-377-8620
Mailing Address - Fax:
Practice Address - Street 1:5535 MEMORIAL DR
Practice Address - Street 2:SUITE F-816
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-8021
Practice Address - Country:US
Practice Address - Phone:832-377-8620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP00097208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty