Provider Demographics
NPI:1427329242
Name:PARADIGM WELLNESS AND REHABILITATION L.L.C.
Entity type:Organization
Organization Name:PARADIGM WELLNESS AND REHABILITATION L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GENARO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:956-778-4433
Mailing Address - Street 1:909 W FM 495
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-3501
Mailing Address - Country:US
Mailing Address - Phone:956-475-3662
Mailing Address - Fax:956-475-3663
Practice Address - Street 1:909 W FM 495
Practice Address - Street 2:SUITE 1
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3501
Practice Address - Country:US
Practice Address - Phone:956-475-3662
Practice Address - Fax:956-475-3663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty