Provider Demographics
NPI:1508912395
Name:SOUTHWEST MEDICAL CONSULTANTS, INC.
Entity Type:Organization
Organization Name:SOUTHWEST MEDICAL CONSULTANTS, INC.
Other - Org Name:LOS NINOS PEDIATRIC REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-287-2006
Mailing Address - Street 1:920 S CLOSNER BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-5617
Mailing Address - Country:US
Mailing Address - Phone:956-287-2006
Mailing Address - Fax:956-287-2016
Practice Address - Street 1:920 S CLOSNER BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5617
Practice Address - Country:US
Practice Address - Phone:956-287-2006
Practice Address - Fax:956-287-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX657550000, 553710000261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX454868Medicare ID - Type UnspecifiedTPI