Healthcare Provider Details

I. General information

NPI: 1275445579
Provider Name (Legal Business Name): TEXAS REHABILITATION HOSPITAL OF DENTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 HERITAGE TRAIL BLVD
DENTON TX
76201-1572
US

IV. Provider business mailing address

3125 HERITAGE TRAIL BLVD
DENTON TX
76201-1572
US

V. Phone/Fax

Practice location:
  • Phone: 615-920-7000
  • Fax:
Mailing address:
  • Phone: 615-920-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: CHAARLOTTE LAWRENCE
Title or Position: SECRETARY
Credential:
Phone: 615-920-7688