Organization
COMPLETE REHAB SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURYA P RAGUTHU M.D. (MEDICAL DOCTOR)
(956) 546-7530
Entity
Organization
Contact information
Practice address
315 JOSE MARTI BLVD, BROWNSVILLE, TX 78526-2868
(956) 546-7530
(956) 546-7531
Mailing address
315 JOSE MARTI BLVD, BROWNSVILLE, TX 78526-2868
(956) 546-7530
(956) 546-7531
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
L9857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0288640
—
TX
Enumeration date
04/20/2012
Last updated
08/28/2012
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