Provider Demographics
NPI:1861415119
Name:KATY REHABILITATION PARTNERS LP
Entity type:Organization
Organization Name:KATY REHABILITATION PARTNERS LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:STAMATIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:281-578-4900
Mailing Address - Street 1:21720 KINGSLAND BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2551
Mailing Address - Country:US
Mailing Address - Phone:281-579-5555
Mailing Address - Fax:832-772-4468
Practice Address - Street 1:21720 KINGSLAND BLVD STE 102
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2551
Practice Address - Country:US
Practice Address - Phone:281-579-5555
Practice Address - Fax:832-772-4468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX453097Medicare PIN
TX453097Medicare Oscar/Certification