Organization
PARA PEDIATRIC & ADULT REHABILITATION ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALLENDA HACKER M.D. (OWNER)
(806) 535-9695
Entity
Organization
Contact information
Practice address
3800 N MESA ST STE A2-343, EL PASO, TX 79902-1538
(806) 535-9695
Mailing address
PO BOX 23098, EL PASO, TX 79923-0098
(806) 535-9695
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N9562
TX
2081P0010X
Pediatric Rehabilitation Medicine Physician
N9562
TX
Other
Enumeration date
11/03/2013
Last updated
03/19/2014
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