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NPI Code Detail

MEDICARE: T&M GERIATRIC REHABILITATION, LLC

MEDICARE: T&M GERIATRIC REHABILITATION, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1497078166
Entity Type Code : Organization
Provider Name (Legal Business Name) : T&M GERIATRIC REHABILITATION, LLC
Provider Business Mailing Address
First Line : 1400 LONE OAK WAY
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-3865
Country : US
Telephone Number : 817-875-8185
Fax Number :
Provider Business Practice Location Address
First Line : 1424 FALLBROOK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77038-1846
Country : US
Telephone Number : 817-875-8185
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : TERENCE BOYD
Credential :
Telephone Number : 817-875-8185
Provider Enumeration Date : 03/09/2010
Last Update Date : 09/30/2011

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Directions to “T&M GERIATRIC REHABILITATION, LLC ” Practice Location

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