Organization
VILLA DE NINOS PEDIATRIC REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK OLIVAS (OWNER)
(512) 858-9580
Entity
Organization
Contact information
Practice address
1757 GEORGE DIETER DR, SUITE 125, EL PASO, TX 79936-4948
(915) 591-3336
Mailing address
2440 E HWY 290, SUITE A-2, DRIPPING SPRINGS, TX 78620-4251
(512) 858-9580
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2006
Last updated
04/07/2010
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