Provider Demographics
NPI:1679812978
Name:ALEXANDRU ANASTASE REHABILITATION CARE CONSULTANTS PLLC
Entity type:Organization
Organization Name:ALEXANDRU ANASTASE REHABILITATION CARE CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRU
Authorized Official - Middle Name:
Authorized Official - Last Name:ANASTASE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-260-7745
Mailing Address - Street 1:1501 S LOOP 288
Mailing Address - Street 2:SUITE 104 PMB 295
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-4703
Mailing Address - Country:US
Mailing Address - Phone:214-260-7745
Mailing Address - Fax:877-445-9313
Practice Address - Street 1:2620 SCRIPTURE ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4315
Practice Address - Country:US
Practice Address - Phone:940-297-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4540225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty