Organization · Type 2 NPI
Eagle's Trace Inc
Rehabilitation Clinic/Center · Houston, TX
NPI number
1174601447
Active
Practice location
14703 Eagle Vista Drive, Attn: Rehabilitation Mgr
Houston, TX 77077-5394
Fax (410) 204-7237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Clinic/Center Primary | 261QR0400X | 660930000 (TX) |
Rehabilitation Clinic/Center: Definition to come...
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About NPI 1174601447
Eagle's Trace Inc's National Provider Identifier is 1174601447, issued on Nov 2, 2006. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Houston, TX. The record was last updated on Jun 20, 2014.