Provider Demographics
NPI:1316226939
Name:SISTERS & BROTHERS THERAPY CENTER LLC
Entity Type:Organization
Organization Name:SISTERS & BROTHERS THERAPY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:LINDA
Authorized Official - Last Name:VELOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-580-2310
Mailing Address - Street 1:405 LOMA BLANCA ST
Mailing Address - Street 2:
Mailing Address - City:LA JOYA
Mailing Address - State:TX
Mailing Address - Zip Code:78560-4182
Mailing Address - Country:US
Mailing Address - Phone:956-580-2310
Mailing Address - Fax:956-580-2311
Practice Address - Street 1:44017 MILE 4 RD
Practice Address - Street 2:
Practice Address - City:PENITAS
Practice Address - State:TX
Practice Address - Zip Code:78576-1914
Practice Address - Country:US
Practice Address - Phone:956-580-2310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-12
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197725803Medicaid
TX356011208Medicaid
TX197725806Medicaid
TX197725802Medicaid