Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Xtreme Medical Rehab

Organization Family Medicine Physician · NPI 1043755457

Xtreme Medical Rehab provides Family Medicine Physician services in Keller, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1710 Rufe Snow Dr 120
Keller, TX 76248-5745
Phone: (817) 656-1615
Fax: (817) 428-0573
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence N6762 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence N6762 (TX)

Record details

NPI number1043755457
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Wander — President · (817) 656-1615
Other names Dfw Medical Pain & Rehab
NPI enumeratedDecember 21, 2016
Last updated in NPPESDecember 21, 2016
Mailing address1710 Rufe Snow Dr, 120, Keller, TX 76248-5745

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