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Contact Information

METROPLEX MEDICAL REHABILITATION & SPORTS MEDICINE PA
6116 OAKBEND TRL
SUITE 112
FORT WORTH, TX76132
 Phone: 817-423-9054
 Fax: 682-916-0940
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for METROPLEX MEDICAL REHABILITATION SPORTS MEDICINE PA · (Female)

NPI Number 1194776872
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2006
Last updated 09/28/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # K5755
  • TX Medicaid 178029801
  • Other 0030PX BCBS
  • TX Other 0033DV BCBS
  • TX Other 0033DV BCBS GROUP NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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