Healthcare Provider Details

I. General information

NPI: 1144456740
Provider Name (Legal Business Name): METROPLEX SPORTS REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2009
Last Update Date: 11/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3602 MATLOCK RD SUITE 204
ARLINGTON TX
76015-3616
US

IV. Provider business mailing address

PO BOX 180909
ARLINGTON TX
76096-0909
US

V. Phone/Fax

Practice location:
  • Phone: 817-419-9023
  • Fax: 817-419-4013
Mailing address:
  • Phone: 817-419-9023
  • Fax: 817-419-4013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES WILLIAM STERNS
Title or Position: OWNER
Credential:
Phone: 972-743-9428