Organization Active NPI

Surgical Rehabilitation Center

  • Ophthalmologic Surgery Clinic/Center
  • Nederland, TX
National Provider Identifier
1821877911
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
SURGICAL REHABILITATION CENTER
Practice address
612 S. Twin City Hwy
Suite B
Nederland, TX 77627
Phone
(409) 724-0794
Fax
(409) 724-7821
NPI assigned
Sep 27, 2023
Last updated
Nov 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Theophilus O Chukwueke, MDNPI 1114000577
Title
President
Phone
(409) 724-0794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

612 S. Twin City Hwy
Suite B
Nederland, TX 77627

Mailing address

612 S. Twin City Hwy
Suite B
Nederland, TX 77627
Phone (409) 724-0794

National Provider Directory

National Provider Directory

Locations

612 S Twin City Hwy
Ste B
Nederland, TX 77627
Phone (409) 724-0794

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1821877911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S. TWIN CITY HWY",
            "address_2": "SUITE B",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "77627",
            "telephone_number": "409-724-0794",
            "fax_number": "409-724-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S. TWIN CITY HWY",
            "address_2": "SUITE B",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "77627",
            "telephone_number": "409-724-0794",
            "fax_number": "409-724-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "CHUKWUEKE",
        "authorized_official_first_name": "THEOPHILUS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-724-0794",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.