| NPI | 1548345804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN PABLO BENITEZ Administrator 956-668-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX 454817) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| 225400000X Rehabilitation Practitioner (Licence: TX 649860000) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-05-08 |