MEDICARE: INDUSTRIAL MED

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
1	225X00000X	Occupational Therapist	NA	TX

General Provider Information

NPI Number	:	1386865608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDUSTRIAL MED

Provider Business Mailing Address
First Line	:	2420 E RANDOL MILL RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-6335
Country	:	US
Telephone Number	:	817-394-1010
Fax Number	:	817-394-1017

Provider Business Practice Location Address
First Line	:	2420 E RANDOL MILL RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-6335
Country	:	US
Telephone Number	:	817-394-1010
Fax Number	:	817-394-1017

Authorized Official
Title or Position	:	DIRECTOR
Name	:	STELLA HANNAH
Credential	:
Telephone Number	:	817-394-1010

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1902938491 — DR. ANDREW BUCHANAN SMALL III M.D.
Practice Location Address:

2420 E RANDOL MILL RD
ARLINGTON, TX
76011-6335

Practice Phone: 817-394-1011
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1740404243 — RICHARD BRYAN GENZEL P.T.
Practice Location Address:

2420 E RANDOL MILL RD
ARLINGTON, TX
76011-6335

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1366654295 — SUMMIT REHAB
Practice Location Address:

2420 E RANDOL MILL RD
ARLINGTON, TX
76011-6335

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Practice Fax: 817-394-1017

1194076372 — DR. ANDRE CHAN HWANG D.C.
Practice Location Address:

2420 E RANDOL MILL RD
ARLINGTON, TX
76011-6335

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1063352458 — KORRIEAN PAUL
Practice Location Address:

536 W RANDOL MILL RD # 117
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76011-5738

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Practice Fax:

1821843285 — DIANA RICKETTS PMHNP
Practice Location Address:

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Directions to “INDUSTRIAL MED ” Practice Location

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