Provider Demographics
NPI:1427273408
Name:REHAB MED INC
Entity type:Organization
Organization Name:REHAB MED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GUIA
Authorized Official - Middle Name:AVECILLA
Authorized Official - Last Name:AYERAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:832-228-5332
Mailing Address - Street 1:1318 SUGAR CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3928
Mailing Address - Country:US
Mailing Address - Phone:832-228-5332
Mailing Address - Fax:713-484-8133
Practice Address - Street 1:1318 SUGAR CREEK BLVD
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3928
Practice Address - Country:US
Practice Address - Phone:832-228-5332
Practice Address - Fax:713-484-8133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1039527225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty