Healthcare Provider Details
I. General information
NPI: 1417264946
Provider Name (Legal Business Name): CBH PHYSICAL MEDICINE & REHABILITATION, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/03/2010
Last Update Date: 10/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1713 S FM 51 103
DECATUR TX
76234-3642
US
IV. Provider business mailing address
1713 S FM 51 103
DECATUR TX
76234-3642
US
V. Phone/Fax
- Phone: 940-627-6976
- Fax: 940-627-3491
- Phone: 940-627-6976
- Fax: 940-627-3491
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | M6477 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
CHRISTIAN
B
HELM
Title or Position: OWNER
Credential: MD
Phone: 940-627-6976