Organization Name: | ERIK M HAGER THE KIDS SPOT PEDIATRIC REHAB |
NPI Number: | 1295769222 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIK M HAGER (OWNER OTR) |
Mailing Address: | 640 S Expressway 77 Suite 3 Raymondville |
State: | TX US |
Postal Code: | 785804240 |
Phone Number: | 9564126060 |
Fax Number: | 9564126070 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 05/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |