Provider Demographics
NPI:1104194000
Name:COMPREHENSIVE THERAPY CENTER, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE THERAPY CENTER, LLC
Other - Org Name:SOUTH TEXAS REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-787-0962
Mailing Address - Street 1:1104B W SAM HOUSTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-5104
Mailing Address - Country:US
Mailing Address - Phone:956-787-0962
Mailing Address - Fax:956-787-1564
Practice Address - Street 1:1104B W SAM HOUSTON BLVD
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-5104
Practice Address - Country:US
Practice Address - Phone:956-787-0962
Practice Address - Fax:956-787-1564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy