Healthcare Provider Details

I. General information

NPI: 1386074201
Provider Name (Legal Business Name): POST-ACUTE PHYSICIANS OF NORTH CAROLINA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2013
Last Update Date: 01/03/2022
Certification Date: 01/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3830 BLUE RIDGE RD
RALEIGH NC
27612-4319
US

IV. Provider business mailing address

1776 WOODSTEAD CT STE 208
THE WOODLANDS TX
77380-1480
US

V. Phone/Fax

Practice location:
  • Phone: 877-749-7428
  • Fax: 512-628-3314
Mailing address:
  • Phone: 877-749-7428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number2013-01543
License Number StateNC

VIII. Authorized Official

Name: JOSE VARGAS
Title or Position: CEO
Credential: MD
Phone: 877-749-7428