Provider Demographics
NPI:1326477514
Name:INTEGRATIONS THERAPY SERVICES
Entity Type:Organization
Organization Name:INTEGRATIONS THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTR
Authorized Official - Prefix:
Authorized Official - First Name:FLAVIO
Authorized Official - Middle Name:
Authorized Official - Last Name:JURADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-638-1355
Mailing Address - Street 1:908 N BOSTON COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-2140
Mailing Address - Country:US
Mailing Address - Phone:210-638-1355
Mailing Address - Fax:
Practice Address - Street 1:908 N BOSTON COLLEGE DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-2140
Practice Address - Country:US
Practice Address - Phone:210-638-1355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112304261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation