Healthcare Provider Details

I. General information

NPI: 1225715600
Provider Name (Legal Business Name): LOIAL REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 W PIONEER PKWY
ARLINGTON TX
76013-6245
US

IV. Provider business mailing address

1250 W PIONEER PKWY
ARLINGTON TX
76013-6245
US

V. Phone/Fax

Practice location:
  • Phone: 214-667-8030
  • Fax: 214-667-8035
Mailing address:
  • Phone: 214-667-8030
  • Fax: 214-667-8035

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: DARREN LOWELL SAPP
Title or Position: VP
Credential:
Phone: 972-390-7733