Provider Demographics
NPI:1326217928
Name:THERA-CARE REHAB SERVICES, PLLC
Entity Type:Organization
Organization Name:THERA-CARE REHAB SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE MARIE
Authorized Official - Middle Name:CASTILLO
Authorized Official - Last Name:ESGUERRA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:956-227-2110
Mailing Address - Street 1:1904 TESORO ST
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-7580
Mailing Address - Country:US
Mailing Address - Phone:956-283-9442
Mailing Address - Fax:956-519-3935
Practice Address - Street 1:1000 EAST HIGHWAY 83
Practice Address - Street 2:
Practice Address - City:LA JOYA
Practice Address - State:TX
Practice Address - Zip Code:78560
Practice Address - Country:US
Practice Address - Phone:956-585-4001
Practice Address - Fax:956-585-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QR0400X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation