Organization
KIDS ROUND UP PEDIATRIC REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO JAVIER MARTINEZ (OWNER-COMPTROLLER)
(956) 361-5437
Entity
Organization
Contact information
Practice address
1821 S SESAME SQ STE 1, HARLINGEN, TX 78550-7941
(956) 361-5437
(956) 361-5440
Mailing address
1821 S SESAME SQ STE 1, HARLINGEN, TX 78550-7941
(956) 361-5437
(956) 361-5440
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178224501
—
TX
Enumeration date
03/21/2007
Last updated
06/26/2012
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