Organization Active NPI

Awad Rehabilitation

  • Health Service Clinic/Center
  • Garland, TX
National Provider Identifier
1265718084
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
K2755 Issued in TX
Legal business name
AWAD REHABILITATION
Practice address
3110 Lamesa Dr
Garland, TX 75041-4201
Phone
(972) 278-3511
Fax
(972) 278-8386
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Issam Awad
Title
Owner
Phone
(214) 382-1909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X K2755 TX Primary

Addresses

Primary practice location

3110 Lamesa Dr
Garland, TX 75041-4201

Mailing address

3110 Lamesa Dr
Garland, TX 75041-4201
Phone (972) 278-3511

Other identifiers 1

IdentifierTypeStateIssuer
135839206MedicaidTX

Other names 1

  • GARLAND REHABILITATION INSTITUTE Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1265718084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 LAMESA DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750414201",
            "telephone_number": "972-278-3511",
            "fax_number": "972-278-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 LAMESA DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750414201",
            "telephone_number": "972-278-3511",
            "fax_number": "972-278-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAD REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "ISSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-382-1909"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "K2755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135839206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARLAND REHABILITATION INSTITUTE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.