Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Neuro Rehab Associates PA

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1376739805

Neuro Rehab Associates PA is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

680 N Carroll Ave Ste 120
Southlake, TX 76092-6467
Phone: (817) 421-9111
Fax: (817) 421-9222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence E5103 (TX)

Record details

NPI number1376739805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Davidovich — Director · (817) 421-9111
NPI enumeratedSeptember 18, 2007
Last updated in NPPESSeptember 18, 2007
Mailing addressPo Box 92248, Southlake, TX 76092-0103

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