Organization
THERAPOOL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERCY OLOWE (COO)
(915) 771-8523
Entity
Organization
Contact information
Practice address
8700 MONTANA AVE, EL PASO, TX 79925-1221
(915) 771-8523
(915) 771-8046
Mailing address
8700 MONTANA AVE, EL PASO, TX 79925-1221
(915) 771-8523
(915) 771-8046
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
621380000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22018801
—
TX
01
—
676504
MEDICARE
TX
Enumeration date
02/01/2006
Last updated
11/13/2019
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