Organization
LIFE SKILLS THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH V DUAZO PT (PRESIDENT)
(956) 383-1858
Entity
Organization
Contact information
Practice address
1200 E BUSINESS HIGHWAY 83, SAN JUAN, TX 78589
(956) 283-7555
Mailing address
1016 FORT HOOD AVE, APT 2, EDINBURG, TX 78539-3331
(956) 383-1858
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019ME
BCBS TX
TX
01
—
137692
CHIPS
TX
Enumeration date
08/15/2006
Last updated
08/22/2020
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