| Organization Name: | CHILDRENS REHABILITATION CLINIC |
| NPI Number: | 1104124346 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VIRGIL T KELLER (ADMINISTRATOR) |
| Mailing Address: | 1620 E 8th St Ste. 3 Weslaco |
| State: | TX US |
| Postal Code: | 785965883 |
| Phone Number: | 9563515422 |
| Fax Number: | 9563515420 |
| NPI Enumeration Date: | 03/12/2011 |
| NPI Last Update Date: | 01/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |