Provider Demographics
NPI:1437265188
Name:B. H. REHABILITATION, INC
Entity type:Organization
Organization Name:B. H. REHABILITATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:P
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-889-1688
Mailing Address - Street 1:PO BOX 831867
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75083-1867
Mailing Address - Country:US
Mailing Address - Phone:972-889-1688
Mailing Address - Fax:972-889-1106
Practice Address - Street 1:375 MUNICIPAL DR
Practice Address - Street 2:SUITE 144
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3561
Practice Address - Country:US
Practice Address - Phone:972-889-1688
Practice Address - Fax:972-889-1106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0066GSOtherBLUE CROSS BLUE SHIELD
TX146712801Medicaid
0066GSOtherBLUE CROSS BLUE SHIELD
TX146712801Medicaid