Organization Name: | LOS DOS PC DBA THERAPY ASSOCIATES |
NPI Number: | 1043229347 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICARDO DELACRUZ (ADMINISTRATOR/OTR) |
Mailing Address: | 601 S 10th Ave Ste A Edinburg |
State: | TX US |
Postal Code: | 785394405 |
Phone Number: | 9562891277 |
Fax Number: | 9562891407 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Taxonomy Definition: |