Organization
KIDIATRIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO HERNANDEZ COTA (PRESIDENT/CFO)
(956) 688-6969
Entity
Organization
Contact information
Practice address
3611 N. WARE RD., MCALLEN, TX 78501-3304
(956) 688-6969
(956) 688-6970
Mailing address
3611 N. WARE RD., MCALLEN, TX 78501-3304
(956) 688-6969
(956) 688-6970
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
676649
TX
Other
Enumeration date
10/06/2006
Last updated
02/27/2009
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