Provider Demographics
NPI:1255993713
Name:TEXAS MEDICAL RECOVERY GROUP PLLC
Entity type:Organization
Organization Name:TEXAS MEDICAL RECOVERY GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BIANCHINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-841-1051
Mailing Address - Street 1:4001 MAPLE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3241
Mailing Address - Country:US
Mailing Address - Phone:214-817-4964
Mailing Address - Fax:210-634-3961
Practice Address - Street 1:4901 PADRE BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH PADRE ISLAND
Practice Address - State:TX
Practice Address - Zip Code:78597-7320
Practice Address - Country:US
Practice Address - Phone:956-299-4748
Practice Address - Fax:210-634-3961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-05
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty