CAPROCK SPORTS REHABILITATION CENTER, INC
Ambulatory Health at 67 St, Lubbock, TX

License number
Texas 1136992
Category
Ambulatory Health
Type
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Owner
Name: MR. BRYAN WILLIAMS
Title: PRACTICE MANAGEMENT CONSULTING
Phone: (806) 771-1166
Address
Address
4712 67Th St SUITE A, Lubbock, TX 79414
National Provider ID: 1679688535
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CAPROCK SPORTS REHABILITATION CENTER, INC

Lubbock, TX

Status:
Inactive
Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Doing business as:
Caprock Sports Rehabilitation Center, Inc
Registration:
Apr 1, 1996
Addresses:
707 N County Rd 1500, Lubbock, TX 79416 (Mailing)
4712 57 St, Lubbock, TX 79414
State ID:
0139497000
Business type:
Domestic For-Profit Corporation
Vice Presidents:
Timothy Robins (GOVERNING), 10604 Raleigh Ave, Lubbock, TX 79424,Cynthia Cindy Darlene Kennon President, inactive,Timothy W. Robbins Vice President, inactive
Agent:
Cynthia (Cindy) Darlene Kennon,6104 45 St SUITE A, Lubbock, TX 79407 (Physical)
TIN:
17526407329

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