Rehoboth Medical Clinics PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REHOBOTH MEDICAL CLINICS PLLC

Practice address

25231 Roesner LN
Katy, TX 77494-5537

Phone

(281) 506-7412

Fax

(281) 530-2882

NPI assigned

Jan 2, 2020

Organization subpart

No

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

Authorized official

Name

Stella Immanuel

Title

Director - Owner

Phone

(281) 506-7412

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1700425188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25231 ROESNER LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945537",
            "telephone_number": "281-506-7412",
            "fax_number": "281-530-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25231 ROESNER LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945537",
            "telephone_number": "281-506-7412",
            "fax_number": "281-530-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH MEDICAL CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "IMMANUEL",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "DIRECTOR - OWNER",
        "authorized_official_telephone_number": "281-506-7412"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regenerative Medical and Wellness Centers
• Rehab and Family Practice of Texas LLC
• Rehab Network
• Rehoboth Medical Center LLC
• Rehoboth Medical Center PLLC
• Rehoboth Wellness Center PLLC
• Heather Reichert, R.D., C.D.E.
• Christina Jean Reid, PT, DPT
• Yvette M Reilly, RNFA
• Justine Reina

• Family Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.