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General NPI Number Information
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NPI Number | 1679498455
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Entity Type | Organization
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Legal Business Name | TEXAS REHAB PHYSICIANS GROUP PLLC
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 425 ALABAMA AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-1022
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Country | US
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Telephone | 817-820-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 990 HIGHWAY 287 N STE 106-134
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City | MANSFIELD
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State | TX
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Zip | 76063-2607
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Country | US
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Telephone | 817-820-3408
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Fax | 817-977-4702
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM BRIDGES
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Credential | MD
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Telephone | 817-682-3791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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