Healthcare Provider Details

I. General information

NPI: 1790849545
Provider Name (Legal Business Name): TOTAL REHAB AT MACARTHUR MEDICAL PLAZA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 07/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 N MACARTHUR BLVD SUITE 440
IRVING TX
75062-3636
US

IV. Provider business mailing address

1327 E WASHINGTON AVE PMB 110
HARLINGEN TX
78550-5684
US

V. Phone/Fax

Practice location:
  • Phone: 972-573-1554
  • Fax: 972-573-1559
Mailing address:
  • Phone: 972-573-1554
  • Fax: 972-573-1559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. MARC SALDANA
Title or Position: DIRECTOR
Credential:
Phone: 956-428-5440