Organization
LOS NINOS PEDIATRIC REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON PATTERSON (OWNER)
(956) 287-2006
Entity
Organization
Contact information
Practice address
920 S CLOSNER BLVD STE A, EDINBURG, TX 78539-5617
(956) 287-2006
(956) 287-2016
Mailing address
920 S CLOSNER BLVD STE A, EDINBURG, TX 78539-5617
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177357401
—
TX
Enumeration date
11/10/2009
Last updated
11/10/2009
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