Provider First Line Business Practice Location Address:
2002 HOLCOMB BLVD.
Provider Second Line Business Practice Location Address:
REHAB CARE LINE-2A
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-4298
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-791-1414
Provider Business Practice Location Address Fax Number:
713-794-7631
Provider Enumeration Date:
10/12/2006