Organization
SUPERKIDS REHABILITATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W. BAILEY D.C. (OWNER)
(956) 831-7600
Entity
Organization
Contact information
Practice address
4430 E 14TH ST, SUITE E, BROWNSVILLE, TX 78521-3363
(956) 831-7600
(956) 831-0386
Mailing address
4430 E 14TH ST, SUITE E, BROWNSVILLE, TX 78521-3363
(956) 831-7600
(956) 831-0386
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
552160000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1677775-01
—
TX
Enumeration date
12/01/2006
Last updated
03/14/2012
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