Provider Demographics
NPI:1518237460
Name:GOLD STARR REHABILITATION CENTER, INC,
Entity Type:Organization
Organization Name:GOLD STARR REHABILITATION CENTER, INC,
Other - Org Name:GOLD STARR REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARACELI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-849-4000
Mailing Address - Street 1:1008 N GARCIA ST
Mailing Address - Street 2:
Mailing Address - City:ROMA
Mailing Address - State:TX
Mailing Address - Zip Code:78584-5590
Mailing Address - Country:US
Mailing Address - Phone:956-849-4000
Mailing Address - Fax:956-849-4008
Practice Address - Street 1:1008 N GARCIA ST
Practice Address - Street 2:
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584-5590
Practice Address - Country:US
Practice Address - Phone:956-849-4000
Practice Address - Fax:956-849-4008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
TX261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty