Provider Demographics
NPI:1811933377
Name:NEW BEGINNINGS CHILDREN'S THERAPY
Entity type:Organization
Organization Name:NEW BEGINNINGS CHILDREN'S THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:O'NEAL
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:MEDCCC SLP
Authorized Official - Phone:956-542-9800
Mailing Address - Street 1:1200 CENTRAL BLVD
Mailing Address - Street 2:SUITE B1-B2
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7542
Mailing Address - Country:US
Mailing Address - Phone:956-542-9800
Mailing Address - Fax:956-542-9830
Practice Address - Street 1:1200 CENTRAL BLVD
Practice Address - Street 2:SUITE B1-B2
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7542
Practice Address - Country:US
Practice Address - Phone:956-542-9800
Practice Address - Fax:956-542-9830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800455367261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T5234OtherBLUE CROSS BLUE SHIELD
TX177023201Medicaid
TX177023201Medicaid