Organization
JGGPO CORPORATION
Active
Other names
EL PASO PULMONARY REHABILITATION INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN ANTHONY PRATT COO (CHIEF OPERATING OFFICER)
(915) 566-7584
Entity
Organization
Contact information
Practice address
7806 GATEWAY BLVD E STE 100, EL PASO, TX 79915-1806
(915) 566-7584
(915) 566-7682
Mailing address
7806 GATEWAY EAST #100, EL PASO, TX 79915-1806
(915) 566-7584
(915) 566-7682
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
454863
TX
Other
Enumeration date
11/27/2006
Last updated
08/19/2009
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