Provider Demographics
NPI:1891512505
Name:RESTORA HEALTH PLLC
Entity type:Organization
Organization Name:RESTORA HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RABEEA
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHOUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-308-0000
Mailing Address - Street 1:555 REPUBLIC DR STE 100B
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5481
Mailing Address - Country:US
Mailing Address - Phone:972-308-0000
Mailing Address - Fax:972-318-2003
Practice Address - Street 1:555 REPUBLIC DR STE 100B
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5481
Practice Address - Country:US
Practice Address - Phone:972-308-0000
Practice Address - Fax:972-318-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-24
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty