Provider Demographics
NPI:1598180291
Name:REHAB MASTERS, INC.
Entity type:Organization
Organization Name:REHAB MASTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:
Authorized Official - Last Name:NICOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-570-0640
Mailing Address - Street 1:11520 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 233
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6605
Mailing Address - Country:US
Mailing Address - Phone:214-570-0640
Mailing Address - Fax:214-570-0676
Practice Address - Street 1:11520 N CENTRAL EXPY
Practice Address - Street 2:SUITE 233
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6605
Practice Address - Country:US
Practice Address - Phone:214-570-0640
Practice Address - Fax:214-570-0676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care