Provider Demographics
NPI:1275965865
Name:BESITOS THERAPY SERVICES
Entity Type:Organization
Organization Name:BESITOS THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ACOSTA
Authorized Official - Last Name:ANZALDUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-499-3081
Mailing Address - Street 1:2908 VIOLET AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3670
Mailing Address - Country:US
Mailing Address - Phone:956-499-3081
Mailing Address - Fax:956-631-1374
Practice Address - Street 1:2908 VIOLET AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3670
Practice Address - Country:US
Practice Address - Phone:956-499-3081
Practice Address - Fax:956-631-1374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1835266Medicaid