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General NPI Number Information
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NPI Number | 1558861682
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Entity Type | Organization
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Legal Business Name | POST-ACUTE PHYSICIANS OF SOUTH CAROLINA, LLC
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Dates
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Enumeration Date | 02/15/2018
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Last Update Date | 04/09/2020
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Provider Practice Location Address
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Address Line | 9181 MEDCOM ST
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-9168
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Country | US
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Telephone | 877-749-7428
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Fax | 512-628-3314
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Provider Business Mailing Address
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Address Line | 1776 WOODSTEAD CT STE 208
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1480
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Country | US
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Telephone | 877-749-7428
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Fax | 512-628-3314
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Authorized Official
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Title or Position | CEO
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Name | JOSE L VARGAS
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Credential | MD
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Telephone | 877-749-7428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 51919
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License Number State | SC
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