Provider Demographics
NPI:1194165597
Name:REHAB CENTERS OF SOUTH TEXAS LLC
Entity type:Organization
Organization Name:REHAB CENTERS OF SOUTH TEXAS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PAOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-683-7770
Mailing Address - Street 1:300 S 2ND ST
Mailing Address - Street 2:STE B
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2702
Mailing Address - Country:US
Mailing Address - Phone:956-627-5564
Mailing Address - Fax:956-682-7771
Practice Address - Street 1:300 S 2ND ST
Practice Address - Street 2:STE B
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2702
Practice Address - Country:US
Practice Address - Phone:956-627-5564
Practice Address - Fax:956-682-7771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-28
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation