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NPI Code Detail

MEDICARE: PEDES MEDICAL REHAB CLINIC

MEDICARE: PEDES MEDICAL REHAB CLINIC
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
1111N00000XChiropractorTX

General Provider Information

NPI Number : 1285819144
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDES MEDICAL REHAB CLINIC
Provider Business Mailing Address
First Line : 8300 BISSONNET ST STE 475
Second Line :
City : HOUSTON
State : TX
Zip : 77074-3914
Country : US
Telephone Number : 713-541-3395
Fax Number :
Provider Business Practice Location Address
First Line : 8300 BISSONNET ST STE 475
Second Line :
City : HOUSTON
State : TX
Zip : 77074-3914
Country : US
Telephone Number : 713-541-3395
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MS. EVELYN RIVERAL
Credential :
Telephone Number : 713-541-3395
Provider Enumeration Date : 01/09/2008
Last Update Date : 01/09/2008

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Directions to “PEDES MEDICAL REHAB CLINIC ” Practice Location

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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.