Provider Demographics
NPI:1114225398
Name:DINO THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:DINO THERAPY SERVICES LLC
Other - Org Name:DINO THERAPY SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-997-4222
Mailing Address - Street 1:6120 N SHARY RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-8333
Mailing Address - Country:US
Mailing Address - Phone:956-997-4222
Mailing Address - Fax:956-338-5785
Practice Address - Street 1:1315 W MAIN AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573-0000
Practice Address - Country:US
Practice Address - Phone:956-997-4222
Practice Address - Fax:956-338-5785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation