Healthcare Provider Details

I. General information

NPI: 1821406661
Provider Name (Legal Business Name): CENTEX REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2014
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 ILLINOIS AVE
KILLEEN TX
76543-5371
US

IV. Provider business mailing address

3000 ILLINOIS AVE
KILLEEN TX
76543-5371
US

V. Phone/Fax

Practice location:
  • Phone: 254-630-1186
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number19405
License Number StateTX

VIII. Authorized Official

Name: JASON MILLER
Title or Position: DIRECTOR
Credential: MS., CCC-SLP
Phone: 254-630-1186