Medical Rehabilitation Clinic of Mesquite, Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

L0888

Legal business name

MEDICAL REHABILITATION CLINIC OF MESQUITE, INC

Practice address

9205 Skillman St
Suite 117
Dallas, TX 75243-9031

Phone

(972) 279-7377

Fax

(214) 349-7200

NPI assigned

Jun 23, 2013

Organization subpart

No

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

Authorized official

Name

Theodore Emeka Okechuku, M.D.

Title

Medical Director

Phone

(972) 279-7377

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371945600000",
    "number": "1194164178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 SKILLMAN ST",
            "address_2": "SUITE 117",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439031",
            "telephone_number": "972-279-7377",
            "fax_number": "214-349-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 SKILLMAN ST",
            "address_2": "SUITE 117",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439031",
            "telephone_number": "972-279-7377",
            "fax_number": "214-349-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL REHABILITATION CLINIC OF MESQUITE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-23",
        "last_updated": "2013-06-23",
        "status": "A",
        "authorized_official_last_name": "OKECHUKU",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "EMEKA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-279-7377",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": "L0888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2013; 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.