Healthcare Provider Details

I. General information

NPI: 1164666822
Provider Name (Legal Business Name): REHABILITATION INSTITUTE OF TEXAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2009
Last Update Date: 02/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 W SPRING CREEK PKWY SUITE 200
PLANO TX
75024-5307
US

IV. Provider business mailing address

5636 SAINT PETER DR
PLANO TX
75093-8582
US

V. Phone/Fax

Practice location:
  • Phone: 972-378-1348
  • Fax:
Mailing address:
  • Phone: 972-533-5098
  • Fax: 888-789-6471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WEIBIN YANG
Title or Position: MANAGER
Credential:
Phone: 972-533-5098