Healthcare Provider Details

I. General information

NPI: 1306182290
Provider Name (Legal Business Name): REHABILITATION AND ELECTRODIAGNOSTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2012
Last Update Date: 12/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 CAPEWOOD CT
SPRING TX
77381-2606
US

IV. Provider business mailing address

25 CAPEWOOD CT
SPRING TX
77381-2606
US

V. Phone/Fax

Practice location:
  • Phone: 713-838-0800
  • Fax: 713-838-0887
Mailing address:
  • Phone: 713-838-0800
  • Fax: 713-838-0887

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. BRIAN KEVIN MCINTYRE
Title or Position: PRESIDENT
Credential: D.O.
Phone: 713-838-0800