MEDICARE: WORKERS COMP AND REHABILITATION CENTER PA

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1710180823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORKERS COMP AND REHABILITATION CENTER PA

Provider Business Mailing Address
First Line	:	713 W 7TH ST
Second Line	:
City	:	HOLTON
State	:	KS
Zip	:	66436-1412
Country	:	US
Telephone Number	:	785-364-4445
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 CRAWFORD ST STE 207
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-8941
Country	:	US
Telephone Number	:	281-407-6683
Fax Number	:	832-986-5646

Authorized Official
Title or Position	:	FAMILY PRACTICE
Name	:	DR. ROY PETER HALL
Credential	:	M.D.
Telephone Number	:	785-364-4445

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	03/17/2025

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