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Organization

MAGICAL KIDS THERAPY

Active
Other names
MAGICAL KIDS THERAPY, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELIZABETH G. TREVINO (OWNER)
(956) 753-6355
Entity
Organization

Contact information

Practice address
3507 JAIME ZAPATA MEMORIAL HWY, STE 1 & 2, LAREDO, TX 78043-4769
(956) 753-6355
(956) 753-6331
Mailing address
3507 JAIME ZAPATA MEMORIAL HWY, STE 1 & 2, LAREDO, TX 78043-4769
(956) 753-6355
(956) 753-6331

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
332120001
TX
01
676709
MEDICARE PTAN
TX
Enumeration date
09/01/2011
Last updated
01/02/2024
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