Functional Restoration Services of Texas, LLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

FUNCTIONAL RESTORATION SERVICES OF TEXAS, LLC

Practice address

11275 S Sam Houston Pkwy W
Suite 150
Houston, TX 77031-2357

Phone

(832) 328-4545

Fax

(832) 328-4548

NPI assigned

Aug 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel Victor Bodin

Title

Program Director/Owner

Phone

(713) 962-4377

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1154512168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11275 S SAM HOUSTON PKWY W",
            "address_2": "SUITE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770312357",
            "telephone_number": "832-328-4545",
            "fax_number": "832-328-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11275 S SAM HOUSTON PKWY W",
            "address_2": "SUITE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770312357",
            "telephone_number": "832-328-4545",
            "fax_number": "832-328-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL RESTORATION SERVICES OF TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "BODIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR/OWNER",
        "authorized_official_telephone_number": "713-962-4377",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Carol Fulton, M.D.
• Yolanda Fultz, CPO, LPO
• Alexander John Funck, PA-C
• Function Beyond Rehab LLC
• Functional Rehab Lab LLC
• Functional Technology
• Fundacion Latinoamericana de Accion Social, Inc.
• Boyce Funderburk
• Ursula D. Funderburk, DC
• William Funes

• Cognitive & Behavioral Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Cognitive & Behavioral Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.