Provider Demographics
NPI:1528271665
Name:WORKFORCE REHABILITATION CENTER
Entity type:Organization
Organization Name:WORKFORCE REHABILITATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ARY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:409-719-0200
Mailing Address - Street 1:1039 N TWIN CITY HWY
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-3828
Mailing Address - Country:US
Mailing Address - Phone:409-719-0200
Mailing Address - Fax:409-719-0300
Practice Address - Street 1:1039 N TWIN CITY HWY
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-3828
Practice Address - Country:US
Practice Address - Phone:409-719-0200
Practice Address - Fax:409-719-0300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1072239261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7784649OtherAETNA PROVIDER NUMBER
TX8T0745OtherBCBS PROVIDER NUMBER
TX8T0745OtherBCBS PROVIDER NUMBER