Ellman Rehab Associates Pa

LBN: Ellman Rehab Associates Pa
Ellman Rehab Associates Pa is an health care organization with primary practice located at 2692 N Galloway #402 , Mesquite TX 75150-6360. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Ellman Rehab Associates Pa can be contacted via phone (972) 682-3909, or through Ellman, Michael Gary via phone (972) 682-3909.

Contact Information

Primary practice address
2692 N Galloway #402 Mesquite TX 75150-6360
Fax: (972) 682-9289
Website:
Authorized official contact:
Name: Ellman, Michael Gary Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J3092 Texas

Profile Details

NPI number 1912028804
LBN Legal business name Ellman Rehab Associates Pa
DBA Doing business as
Authorized official Ellman, Michael Gary Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Feb 6th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912028804 NPPES
Texas Other 00Y500 MEDICARE GROUP
Texas Other 0074QG MEDICARE GROUP
Texas MEDICAID 12249902 MEDICARE GROUP
Texas Other J3092 MEDICARE GROUP

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