Organization
BUILDING BLOKS PEDIATRIC REHAB LTD
Active
Other names
ABC PEDIATRIC REHABILITATION & AUTISM DEVELOPMENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEOFILO FLORES (OWNER / GOVERNING BODY MEMBER)
(956) 702-9000
Entity
Organization
Contact information
Practice address
6201 S CAGE BLVD, SUITE #3, PHARR, TX 78577-5609
(956) 702-9000
(956) 688-6114
Mailing address
6201 S CAGE BLVD, SUITE #3, PHARR, TX 78577-5609
(956) 702-9000
(956) 688-6114
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
552980001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1788788-01
—
TX
01
—
552980001
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
01
—
67-6616
MEDICARE PROVIDER NO.
TX
Enumeration date
04/14/2008
Last updated
02/04/2010
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