Organization
ERIK M HAGER THE KIDS SPOT PEDIATRIC REHAB
Active
Other names
The Kids SPOT Pediatric Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK M HAGER OTR (OWNER OTR)
(956) 412-6060
Entity
Organization
Contact information
Practice address
640 S EXPRESSWAY 77, SUITE 3, RAYMONDVILLE, TX 78580-4240
(956) 412-6060
(956) 412-6070
Mailing address
512 VICTORIA LANE, SUITE 13, HARLINGEN, TX 78550
(956) 412-6060
(956) 412-6070
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
554150000-658290000
TX
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046NN BC/BS
PEDIATRIC REHABILITATION
TX
05
—
1787095-01
—
TX
Enumeration date
07/10/2006
Last updated
05/26/2010
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