Provider Demographics
NPI:1336725381
Name:METRO REHAB CLINIC LLC
Entity Type:Organization
Organization Name:METRO REHAB CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GABRIELS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:281-818-6055
Mailing Address - Street 1:9888 BISSONNET ST STE 550
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8297
Mailing Address - Country:US
Mailing Address - Phone:346-293-8880
Mailing Address - Fax:346-335-2357
Practice Address - Street 1:9888 BISSONNET ST STE 550
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8297
Practice Address - Country:US
Practice Address - Phone:346-293-8880
Practice Address - Fax:346-335-2357
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METRO REHAB CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-21
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy