Organization
REHAB4KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE SANCHEZ JR. (DIRECTOR OF OPERATIONS)
(956) 519-9700
Entity
Organization
Contact information
Practice address
8700 9TH AVE, SUITE 103, PORT ARTHUR, TX 77642-8076
(409) 722-5437
(409) 722-5435
Mailing address
8700 9TH AVE, SUITE 103, PORT ARTHUR, TX 77642-8076
(409) 722-5437
(409) 722-5435
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184691701
—
TX
Enumeration date
08/19/2006
Last updated
07/19/2012
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