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
MAGICAL KIDS THERAPY
Active
Organization
MAGICAL KIDS THERAPY
Active
Other names
MAGICAL KIDS THERAPY, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH G. TREVINO (OWNER)
(956) 753-6355
Entity
Organization
Contact information
Practice address
3507 JAIME ZAPATA MEMORIAL HWY, STE 1 & 2, LAREDO, TX 78043-4769
(956) 753-6355
(956) 753-6331
Mailing address
3507 JAIME ZAPATA MEMORIAL HWY, STE 1 & 2, LAREDO, TX 78043-4769
(956) 753-6355
(956) 753-6331
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332120001
—
TX
01
—
676709
MEDICARE PTAN
TX
Enumeration date
09/01/2011
Last updated
01/02/2024
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