Provider Demographics
NPI:1144456740
Name:METROPLEX SPORTS REHAB INC
Entity type:Organization
Organization Name:METROPLEX SPORTS REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:STERNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-743-9428
Mailing Address - Street 1:PO BOX 180909
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76096-0909
Mailing Address - Country:US
Mailing Address - Phone:817-419-9023
Mailing Address - Fax:817-419-4013
Practice Address - Street 1:3602 MATLOCK RD
Practice Address - Street 2:SUITE 204
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-3616
Practice Address - Country:US
Practice Address - Phone:817-419-9023
Practice Address - Fax:817-419-4013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation