Organization
KIDS PLAYHOUSE REHAB LP
Active
Other names
KIDS PLAYHOUSE REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS MEGO M.D. (PRESIDENT)
(956) 631-6200
Entity
Organization
Contact information
Practice address
3601 BUDDY OWENS AVE STE 100, MCALLEN, TX 78504-6447
(956) 631-6200
(956) 631-6433
Mailing address
3601 BUDDY OWENS AVE STE 100, MCALLEN, TX 78504-6447
(956) 631-6200
(956) 631-6433
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
DT06921
TX
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153143604
NUTRITION
TX
01
—
163485902
NUTRITION
TX
05
—
180599601
—
TX
01
—
180599602
CSHCN
TX
Enumeration date
07/10/2006
Last updated
10/06/2011
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