Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
RANCHO EL CHARCO THERAPY CENTER
Active
Organization
RANCHO EL CHARCO THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY ALVIZO (ADMINISTRATOR)
(956) 521-9258
Entity
Organization
Contact information
Practice address
100 N KIKA DE LA GARZA, LA JOY, TX 78560
(956) 581-0395
(956) 584-9488
Mailing address
100 N KIKA DE LA GARZA, LA JOY, TX 78560
(956) 581-0395
(956) 584-9488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
104096
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101612
TEXAS STATE BOARD LICENSE
TX
05
—
2168189-05
—
TX
Enumeration date
09/03/2013
Last updated
12/04/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up