Provider Demographics
NPI:1043229347
Name:LOS DOS PC DBA THERAPY ASSOCIATES
Entity Type:Organization
Organization Name:LOS DOS PC DBA THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OTR
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:DELACRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:956-289-1277
Mailing Address - Street 1:601 S 10TH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4405
Mailing Address - Country:US
Mailing Address - Phone:956-289-1277
Mailing Address - Fax:956-289-1407
Practice Address - Street 1:601 S 10TH AVE STE A
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-4405
Practice Address - Country:US
Practice Address - Phone:956-289-1277
Practice Address - Fax:956-289-1407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)