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Organization
OPTIMUM KIDS LTD
Active
Organization
OPTIMUM KIDS LTD
Active
Other names
Mission Autism Center & Kids Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE L MCDONALD DPT (OWNER)
(956) 583-1527
Entity
Organization
Contact information
Practice address
508 W GRIFFIN PKWY, SUITE A, MISSION, TX 78572-2223
(956) 583-1527
Mailing address
508 W GRIFFIN PKWY, SUITE A, MISSION, TX 78572-2223
(956) 583-1527
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
550830000
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
650620000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157077201
—
TX
Enumeration date
02/08/2006
Last updated
02/05/2021
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