Provider Demographics
NPI:1386020998
Name:SOUTH TEXAS INJURY & REHABILITATION CENTER LLC
Entity Type:Organization
Organization Name:SOUTH TEXAS INJURY & REHABILITATION CENTER LLC
Other - Org Name:RETURN TO HEALTH REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROJELIO
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-260-0720
Mailing Address - Street 1:4646 CORONA DR
Mailing Address - Street 2:SUITE 158
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411
Mailing Address - Country:US
Mailing Address - Phone:210-260-0720
Mailing Address - Fax:
Practice Address - Street 1:4646 CORONA DR
Practice Address - Street 2:SUITE 158
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411
Practice Address - Country:US
Practice Address - Phone:210-260-0720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11259111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty