Provider Demographics
NPI:1063597813
Name:EL PASO HAND REHABILITATION CENTER, INC.
Entity type:Organization
Organization Name:EL PASO HAND REHABILITATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P., SEC.
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-598-1920
Mailing Address - Street 1:11395 JAMES WATT DR
Mailing Address - Street 2:#A-7
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-5940
Mailing Address - Country:US
Mailing Address - Phone:915-598-1920
Mailing Address - Fax:915-598-2444
Practice Address - Street 1:11395 JAMES WATT DR
Practice Address - Street 2:#A-7
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-5940
Practice Address - Country:US
Practice Address - Phone:915-598-1920
Practice Address - Fax:915-598-2444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX508630000225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty