OrganizationActive
Total Recovery Physical Modality, PC
NPI 1902195373 · Legal Medicine · Houston, TX
Provider details
- NPI number
- 1902195373
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Hazel Roberts, Manager(214) 325-9508
- License
- K5571 (TX)
Specialties & taxonomies
Other Service Providers
Practice location
3007 Caroline St
Houston, TX 77004-2822
Phone: (214) 325-9508
Fax: (713) 533-1408
Approximate (ZIP-level) locationGet directions
Mailing address
3007 Caroline St
Houston, TX 77004-2822
Registry dates
- Enumerated
- 2011-04-06
- Last updated
- 2011-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.