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Organization
LIFE SKILLS THERAPY CENTER
Active
Organization
LIFE SKILLS THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH V DUAZO PT (PRESIDENT)
(956) 383-1858
Entity
Organization
Contact information
Practice address
220 S BICENTENNIAL BLVD, STE. A, MCALLEN, TX 78501-7016
(956) 688-6141
(956) 688-6997
Mailing address
1016 FORT HOOD AVE, APT. 2, EDINBURG, TX 78539-3331
(956) 383-1858
(956) 383-1857
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019ME
BCBS TX
TX
01
—
137695
CHIPS
TX
Enumeration date
01/16/2007
Last updated
08/27/2007
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