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General NPI Number Information
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NPI Number | 1700853181
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Entity Type | Organization
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Legal Business Name | REGENCY REHAB CENTER
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 7633 BELLFORT AVE
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City | HOUSTON
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State | TX
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Zip | 77061
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Country | US
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Telephone | 713-644-2101
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Fax | 713-644-8324
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Provider Business Mailing Address
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Address Line | 21018 KELLIWOOD GROVE LN
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City | KATY
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State | TX
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Zip | 77450-6808
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Country | US
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Telephone | 713-644-2101
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Fax | 713-644-8324
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | SHALAISH PATHAK
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Credential |
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Telephone | 713-480-7088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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