Organization
SELOUS HEALTHCARE LLC
Active
Other names
Beyond Boundaries Pediatric Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DEGROOT (CEO)
(956) 878-4094
Entity
Organization
Contact information
Practice address
704 LONGMIRE RD, SUITE 101, CONROE, TX 77304-1850
(936) 441-2500
(936) 539-2515
Mailing address
517 COTTONWOOD CREEK RD, DRIPPING SPRINGS, TX 78620-3993
(866) 524-7773
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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