Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1396704532
Physical Medicine & Rehabilitation Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 678413
DALLAS, TX 752678413
Phone: (972) 772-5400
Fax: (972) 722-7303
Type: Mailing
2931, Ridge Road, Rockwall, Rockwall County, Texas, 75032, United States
SUITE 115
ROCKWALL, TX 750326670
Phone: (972) 772-5400
Fax: (972) 722-7303
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75267)
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