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General NPI Number Information
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NPI Number | 1508931155
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Entity Type | Organization
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Legal Business Name | CARDIAC REHAB INC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 731 HILL COUNTRY DRIVE
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City | KERRVILLE
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State | TX
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Zip | 78028
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Country | US
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Telephone | 830-257-6322
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Fax | 830-257-7200
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Provider Business Mailing Address
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Address Line | PO BOX 291548
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City | KERRVILLE
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State | TX
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Zip | 78029-1548
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Country | US
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Telephone | 830-257-6322
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Fax | 830-257-7200
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. WILLIAM R RECTOR
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Credential | MD
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Telephone | 830-257-6322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2471B0102X
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Taxonomy Name | Bone Densitometry Radiologic Technologist
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License Number |
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License Number State |
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