Provider Demographics
NPI:1144846791
Name:OCCUPATIONAL AND REHABILITATION SERVICE
Entity type:Organization
Organization Name:OCCUPATIONAL AND REHABILITATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:CREDENTIALER
Authorized Official - Phone:817-573-9800
Mailing Address - Street 1:2040 NORTH LOOP W STE 330
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8114
Mailing Address - Country:US
Mailing Address - Phone:713-884-8180
Mailing Address - Fax:713-583-1997
Practice Address - Street 1:2040 NORTH LOOP W STE 330
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8114
Practice Address - Country:US
Practice Address - Phone:713-884-8180
Practice Address - Fax:713-583-1997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Single Specialty
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine