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Contact Information

EAST REHABILITATION PA
16633 DALLAS PKWY STE 150
ADDISON, TX75001-6812
 Phone: 972-380-0000
 Fax: 972-380-0030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Chiropractor

111N00000X 35 Chiropractic
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Physical Medicine & Rehabilitation

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

NPI Profile & details for EAST REHABILITATION PA

NPI Number 1558322859
LBN Legal business name EAST REHABILITATION PA
Authorized official JOHN EAST - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers
TX License # M1138
TX License # P8718
TX Medicaid 154668101
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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