Reavis Rehab

LBN: Reavis Rehab & Wellness Center, Inc.
Reavis Rehab is an health care organization with primary practice located at 1201 S Ih 35 Ste 105, Round Rock TX 78664-6615. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty. Reavis Rehab & Wellness Center, Inc. can be contacted via phone (512) 310-7665, or through Boone, Charise via phone (512) 310-7665.

Contact Information

Primary practice address
1201 S Ih 35 Ste 105 Round Rock TX 78664-6615
Fax: (512) 310-9228
Website:
Authorized official contact:
Name: Boone, Charise

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 611620000 Texas
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X Texas

Profile Details

NPI number 1265448054
LBN Legal business name Reavis Rehab & Wellness Center, Inc.
DBA Doing business as Reavis Rehab
Authorized official Boone, Charise
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Mar 7th, 2016 - about 9 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 1265448054 NPPES
Texas Other 0031DG BLUE CROSS BLUE SHIELD TX
Texas MEDICAID 094474602 BLUE CROSS BLUE SHIELD TX

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