Provider Demographics
NPI:1437400884
Name:WEE CARE THERAPY CENTER, LLC
Entity Type:Organization
Organization Name:WEE CARE THERAPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:TERCERO
Authorized Official - Suffix:JR
Authorized Official - Credentials:BS
Authorized Official - Phone:915-240-7784
Mailing Address - Street 1:11292 ACOMA ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-2847
Mailing Address - Country:US
Mailing Address - Phone:915-240-7784
Mailing Address - Fax:
Practice Address - Street 1:11292 ACOMA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79934-2847
Practice Address - Country:US
Practice Address - Phone:915-240-7784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-25
Last Update Date:2012-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation