Healthcare Provider Details

I. General information

NPI: 1194750216
Provider Name (Legal Business Name): HAND & UPPER EXTREMITY REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 MEDICAL CENTRE DR STE A
ARLINGTON TX
76012-4758
US

IV. Provider business mailing address

911 MEDICAL CENTRE DR STE A
ARLINGTON TX
76012-4758
US

V. Phone/Fax

Practice location:
  • Phone: 817-861-7600
  • Fax: 817-861-7601
Mailing address:
  • Phone: 817-861-7600
  • Fax: 817-861-7601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. CHARLES PAUL GILBERT
Title or Position: OWNER
Credential:
Phone: 817-861-7600