Organization Name: | ROCKPORT PHYSICAL MEDICINE PA |
NPI Number: | 1851745558 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHARINE E MCNAMARA (OWNER) |
Mailing Address: | 2011 Highway 35 N Rockport |
State: | TX US |
Postal Code: | 783823302 |
Phone Number: | 3617292225 |
Fax Number: | 3617292483 |
NPI Enumeration Date: | 04/19/2016 |
NPI Last Update Date: | 05/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | Q2161 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |