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NPI Code Detail

MEDICARE: D L&J PHYSICAL MEDICINE REHAB

MEDICARE: D L&J PHYSICAL MEDICINE REHAB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies0059512TX

General Provider Information

NPI Number : 1023119104
Entity Type Code : Organization
Provider Name (Legal Business Name) : D L&J PHYSICAL MEDICINE REHAB
Provider Business Mailing Address
First Line : 6065 HILLCROFT ST STE 109
Second Line :
City : HOUSTON
State : TX
Zip : 77081-1005
Country : US
Telephone Number : 713-272-6610
Fax Number : 713-272-3767
Provider Business Practice Location Address
First Line : 6065 HILLCROFT ST STE 109
Second Line :
City : HOUSTON
State : TX
Zip : 77081-1005
Country : US
Telephone Number : 713-272-6610
Fax Number : 713-272-3767
Authorized Official
Title or Position : ADMINISTRATOR
Name : DOREEN COYLE
Credential :
Telephone Number : 713-272-6610
Provider Enumeration Date : 09/25/2006
Last Update Date : 08/22/2020

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Directions to “D L&J PHYSICAL MEDICINE REHAB ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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