Provider Demographics
NPI:1699931618
Name:BORDER HAND REHABILITATION , PLLC
Entity type:Organization
Organization Name:BORDER HAND REHABILITATION , PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:H
Authorized Official - Last Name:KYDD
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:956-630-0455
Mailing Address - Street 1:1421 N 2ND ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2303
Mailing Address - Country:US
Mailing Address - Phone:956-630-0455
Mailing Address - Fax:956-630-5240
Practice Address - Street 1:1421 N 2ND ST
Practice Address - Street 2:SUITE D
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2303
Practice Address - Country:US
Practice Address - Phone:956-630-0455
Practice Address - Fax:956-630-5240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty