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Organization

THERA-CARE REHAB SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNIE MARIE CASTILLO ESGUERRA PT, DPT (CFO)
(956) 227-2110
Entity
Organization

Contact information

Practice address
7600 W EXPRESSWAY 83 STE 4&5, MISSION, TX 78572-2063
(956) 581-7171
(956) 581-7178
Mailing address
2504 E GRIFFIN PKWY, MISSION, TX 78572-3348
(956) 519-2700
(956) 519-2704

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0093LK
BCBS
TX
05
161766402
TX
01
7056829
AETNA
TX
Enumeration date
06/30/2006
Last updated
07/13/2020
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