Organization
FIRST CLASS THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MONTEMAYOR OTA (PRESIDENT)
(956) 381-4545
Entity
Organization
Contact information
Practice address
709 S RAUL LONGORIA RD, STE G, EDINBURG, TX 78542-5238
(956) 381-4545
(956) 381-4541
Mailing address
709 S RAUL LONGORIA RD, STE G, EDINBURG, TX 78542-5238
(956) 381-4545
(956) 381-4541
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159486310
—
TX
05
—
191470702
—
TX
05
—
192191802
—
TX
05
—
214230901
—
TX
Enumeration date
09/22/2011
Last updated
09/22/2011
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