# RENAISSANCE OUTPATIENT REHABILITATION CENTER, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kids Korner at Renaissance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235137506
- **Authorized official:** JOSE R CARRERAS M.D. (MANAGING PARTNER)
- **Authorized official phone:** (956) 682-6900

## Contact information

- **Practice address:** 910 E 8TH ST STE 7, WESLACO, TX 78596-4346
- **Practice address phone:** (956) 702-9882
- **Practice address fax:** (956) 702-9886
- **Mailing address:** PO BOX 720157, MCALLEN, TX 78504-0157
- **Mailing address phone:** (956) 682-6900
- **Mailing address fax:** (956) 682-8445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 227900000X | Registered Respiratory Therapist | — | NULL | — |
| 227900000X | Registered Respiratory Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 12/16/2014