Organization
EXTRA CREDIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MENZES OTR (OWNER)
(512) 689-0236
Entity
Organization
Contact information
Practice address
8820 BUSINESS PARK DR, #300, AUSTIN, TX 78759-7456
(512) 689-0236
(512) 201-2989
Mailing address
8820 BUSINESS PARK DR, #300, AUSTIN, TX 78759-7456
(512) 689-0236
(512) 201-2989
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
110741
TX
Other
Enumeration date
11/18/2013
Last updated
01/12/2014
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