Organization
THERA-CARE REHAB SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNIE MARIE CASTILLO ESGUERRA PT, DPT (CFO)
(956) 227-2110
Entity
Organization
Contact information
Practice address
2504 E GRIFFIN PKWY, MISSION, TX 78572-3348
(956) 519-2700
(956) 519-2704
Mailing address
2504 E GRIFFIN PKWY, MISSION, TX 78572-3348
(956) 519-2700
(956) 519-2704
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093LK
BCBS
TX
05
—
172095501
—
TX
01
—
7056829
AETNA
TX
Enumeration date
07/18/2006
Last updated
06/11/2024
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