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General NPI Number Information
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NPI Number | 1467404129
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Entity Type | Organization
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Legal Business Name | ROUND ROCK WOUND & REHAB CENTER, LP
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 310 W MAIN AVE
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City | ROUND ROCK
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State | TX
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Zip | 78664-5830
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Country | US
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Telephone | 512-246-2262
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Fax | 512-246-2261
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Provider Business Mailing Address
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Address Line | 1701 W BEN WHITE BLVD SUITE 100B
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City | AUSTIN
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State | TX
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Zip | 78704-7667
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Country | US
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Telephone | 512-440-1441
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Fax | 512-440-1448
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. PAUL JONES
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Credential |
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Telephone | 512-440-1441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State | TX
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