Provider Demographics
NPI:1346491909
Name:CDP ENTERPRISES, LLC
Entity Type:Organization
Organization Name:CDP ENTERPRISES, LLC
Other - Org Name:CHILDREN FIRST PEDIATRIC REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:CALDERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-361-5800
Mailing Address - Street 1:160 W EXPRESSWAY 83 STE F
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-3836
Mailing Address - Country:US
Mailing Address - Phone:956-361-5800
Mailing Address - Fax:956-361-9456
Practice Address - Street 1:160 W EXPRESSWAY 83 STE F
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-3836
Practice Address - Country:US
Practice Address - Phone:956-361-5800
Practice Address - Fax:956-361-9456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX553910000261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation