Organization Name: | RENAISSANCE OUTPATIENT REHABILITATION CENTER, LLC. |
NPI Number: | 1235137506 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE R CARRERAS (MANAGING PARTNER) |
Mailing Address: | 910 E 8th St Ste 7 Weslaco |
State: | TX US |
Postal Code: | 785964346 |
Phone Number: | 9567029882 |
Fax Number: | 9567029886 |
NPI Enumeration Date: | 07/12/2005 |
NPI Last Update Date: | 12/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |