Provider Demographics
NPI:1841360872
Name:NATIONAL REHABILITATION PHYSICIANS PA
Entity type:Organization
Organization Name:NATIONAL REHABILITATION PHYSICIANS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:J
Authorized Official - Last Name:KENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-484-7744
Mailing Address - Street 1:PO BOX 678459
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-8459
Mailing Address - Country:US
Mailing Address - Phone:972-484-7744
Mailing Address - Fax:972-484-7745
Practice Address - Street 1:8 MEDICAL PARKWAY
Practice Address - Street 2:SUITE 203
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7842
Practice Address - Country:US
Practice Address - Phone:817-284-9850
Practice Address - Fax:949-863-6723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Y031Medicare PIN
TXI31132Medicare UPIN