Organization
CHILDREN FIRST PEDIATRIC REHABILITATION, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETICIA VILLAREAL (OFFICE ADMINISTRATION)
95668910000
Entity
Organization
Contact information
Practice address
464 W HIDALGO AVE, RAYMONDVILLE, TX 78580-3529
(956) 689-1000
(956) 689-6026
Mailing address
464 W HIDALGO AVE, RAYMONDVILLE, TX 78580-3529
(956) 689-1000
(956) 689-6026
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064KX
PEDIATRIC REHABILITATION
TX
01
—
953377 CHIPS
PEDIATRIC REHABILITATION
TX
Enumeration date
07/19/2006
Last updated
08/22/2020
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